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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817905
Report Date: 05/27/2022
Date Signed: 05/27/2022 01:38:37 PM

Document Has Been Signed on 05/27/2022 01:38 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
364817905
ADMINISTRATOR:FRAZEE, ANNALEEFACILITY TYPE:
840
ADDRESS:14273 BASELINE ROADTELEPHONE:
(909) 350-2422
CITY:FONTANASTATE: CAZIP CODE:
92336
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 6DATE:
05/27/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Assistant Director, Victoria EllisTIME COMPLETED:
01:40 PM
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On 05/27/2022 at 1:15PM , a case management visit was completed by Licensing Program Analyst (LPA) Giselle Carbullido due to a deficiency found during the course of another inspection.

1) 101538.3 Indoor Activity Space for School- Age Children

(b) In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from space provided for infant care and child care center children.


SEE LIC 9102 TV for the technical advisory issued

The Director was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights.

An exit interview was conducted, a copy of this report and Notice of Site Visit was provided to the Assistant Director, Victoria Ellis and the LPA observed the Notice of Site Visit form was posted. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THREE YEARS.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE: DATE: 05/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/27/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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