566212345-11-23-2021-17-CC-GMIE-C9XVHU-20211222152741

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566212345
Report Date: 11/23/2021
Date Signed: 11/23/2021 11:43:42 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/16/2021 and conducted by Evaluator Francisco Pedroza

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20211116094031

FACILITY NAME:	TUTOR TIME CHILD CARE/LEARNING CENTER SV		FACILITY NUMBER:	566212345
ADMINISTRATOR:	VALERIE LOPEZ		FACILITY TYPE:	850
ADDRESS:	1080 COUNTRY CLUB DRIVE WEST		TELEPHONE:	(805) 582-0562
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93065
CAPACITY:	138	CENSUS: 36	DATE:	11/23/2021
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Valerie Lopez		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Personal Rights - Day care child sustained unexplained injuries while in care.

INVESTIGATION FINDINGS:

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On November 23, 2021 at 10:05 AM, Licensing Program Analysts (LPAs) Francisco Pedroza and Dean Thompson conducted an unannounced inspection to initiate and conclude a Complaint investigation. LPAs met with facility Director Valerie Lopez and advised her the purpose of the inspection. Director provided LPAs a tour of the facility inside and out. There were 36 children in care at the time of the inspection.

Allegation stated a day care child sustained unexplained injuries while in care. LPA conducted one unannounced inspection touring the facility inside and out. During the course of the investigation, LPA reviewed facility incident reports, and conducted a staff interview. According to the staff interview the incident occurred when the teacher was occupied assisting another child. Per staff, prior to the incident, C2 was playing with a toy. When staff heard C2 cry they went to investigate what happened. Staff observed that C2 had a bite mark that was bleeding on the cheek and scratch on the forehead.

Continued on 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 11/23/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 17-CC-20211116094031

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER SV	FACILITY NUMBER: 566212345
	VISIT DATE: 11/23/2021

NARRATIVE

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C1 had the toy that C2 was playing with prior to the incident. Staff believe C1 wanted to play with the toy C2 had possessed at the time of the incident and did not want to give it to C1 leading to the incident.

Director Lopez advised that the facility has been working with C1 and their guardian(s). C1 has been on a compliance plan working on behavior, redirection, communicating, building social skills, and other techniques to help prevent/lower incidents. After conducting record reviews, LPAs observed previous incidents and the compliance plan. This isolated incident was the first time C1 had cut/broken another child's skin. Unfortunately it was an accident that occurred when staff observation was directed towards assisting another child. Since the incident has occurred, the facility has taken extra precautions. They are monitoring the child more closely and working with C1's guardian(s). When available an extra staff is assisting help with the child. Facility has shown they are addressing the needs of the children and modifying their procedures to assist with children including C1. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter number), 101223(a)(3) Personal Rights are being cited on the attached LIC 9102 technical violation.

There were no deficiencies cited during today's inspection

NOTICE OF SITE VISIT POSTED.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 11/23/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021

LIC9099 (FAS) - (06/04)

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