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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370256
Report Date: 07/08/2026
Date Signed: 07/08/2026 04:39:39 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/17/2026 and conducted by Evaluator Mahnaz Malek
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20260617153053
FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
304370256
ADMINISTRATOR:MARY JOY HILSABECKFACILITY TYPE:
850
ADDRESS:24291 AVILA ROADTELEPHONE:
(949) 831-8887
CITY:LAGUNA NIGUELSTATE: CAZIP CODE:
92677
CAPACITY:170CENSUS: 55DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director, Timothy BishopTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff are operating out of ratio
INVESTIGATION FINDINGS:
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Page 1 of 2

Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a follow up complaint investigation regarding the above allegation which initially started on 6/22/2026. LPA met with director, Timothy Bishop. Census was taken. A total of 57 preschool children with 7 staff in 5 different classrooms and on the playground observed. one staff with 9 children in Pre-K classroom, 2 staff with 12 children in the 2 year old room, and one staff with 12 children from Early Preschool Room on the playground, 2 staff with 10 children in TK Plaus Room, one staff with 12 children in Preschool Room 2 observed.

A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Continued on page 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 06-CC-20260617153053
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER
FACILITY NUMBER: 304370256
VISIT DATE: 07/08/2026
NARRATIVE
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Page 2 of 2

On 6/17/2026, the Orange County Childcare Office received a complaint alleging "Staff are operating out of ratio”. The Reporting Party (RP) reported that one staff was left alone in the classroom with 24 preschool children on Wednesday, June 17, at approximately 8:00 AM. RP added that this is not an isolated concern and there have been multiple occasions the issue of being out of ratio has occurred.

On the initial day of 6/22/2026, LPA interviewed total of 7 staff and obtained some documentation regarding the allegation. Additionally, LPA interviewed another staff member on a different date.

LPA reviewed the Internal name to face sheet which are filled by the staff members, including the name and time of arrival of children for the mentioned date of 6/17/2026.

The evidence established that on 6/17/2026 from 8:05 am to 8:37 am, one staff member was solely responsible for supervising 20 preschool children, exceeding the required teacher child ratio. Although S2 was present in the classroom from approximately 8:00am to 8:15 am, S2 had not clocked in, was present only to observe a school project, and was not providing supervision or care to the children. Additionally, S4 was entering and exiting the classroom and was not continuously available to provide supervision. Therefore, the facility failed to maintain the required preschool teacher child ratio of 1:12 between 8:05 to 8:37 am on 6/17/2026.

Based on interviews with 8 staff members, reviewing the facility’s name to face sheet dated 6/17/2026, staff timecards, children’s arrival records, contacting 10 random parents of whom 3 responded with no concerns regarding the above allegation, it was determined the preponderance of evidence standard has been met, the allegation of “Staff are operating out of ratio" is found to be SUBSTANTIATED.

The California Code of Regulations, Division 12, Section 101216.3(a) teacher child ratio is cited on LIC 809D next page.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the director, Timothy Bishop.
End of report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20260617153053
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER
FACILITY NUMBER: 304370256
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/13/2026
Section Cited
CCR
101216.3(a)
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(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified ...... This requirement is not met as evidenced by: Based on a complaint report, interviewing 8 staff, reviewing name to face sheet dated 6/17/2026 that one staff member
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The director agreed to send a statement with a plan of correction, and a correct staff communication to show that the preschool classrooms are staying in ratio at all times. Staffs' signatures acknowledging being aware of teacher child ration and how
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was left alone with 20 preschool children from 8:05 to 8:37am. Although S2 was present in the classroom from 8:00am to 8:15 am, S2 had not clocked in, observing a school project, and not supervision children. Additionally, S4 was entering and exiting the classroom. There is no record of signing S4 on the name to face sheet. Therefore, the facility failed to maintain the required preschool teacher child ratio of 1:12 between 8:05 to 8:37 am on 6/17/2026. This is a potential risk to the health and safety of children in care.
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to communicate for help in these situations will be sent to LPA's email address by the due date of 7/13/2026.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3