103808371-12-5-2019-04-CC-CBRN-BJKSUG-20191205131106

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103808371
Report Date: 12/05/2019
Date Signed: 12/05/2019 01:11:12 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	LEARNING TREE, THE		FACILITY NUMBER:	103808371
ADMINISTRATOR:	GOMEZ, CYNDI		FACILITY TYPE:	830
ADDRESS:	364 E BARSTOW		TELEPHONE:	(559) 439-8143
CITY:	FRESNO	STATE: CA	ZIP CODE:	93710
CAPACITY:	30	CENSUS: 20	DATE:	12/05/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Cyndi Gomez		TIME COMPLETED:	01:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Brannon met with director, Cynthia Gomez. Licensee is Hope Lutheran Church. Licensee is requesting an increase from 30 to 45 infant capacity. LPA toured facility with director, Cyndi Gomez. Classroom measurements were taken during today's inspection. There are three infant classrooms. The approximate inside square footage is 1579, which will accommodate the requested capacity of 45 infants, with 10 crib babies. Outside measurements were previously taken on 12/29/19. The approximate measurements for 12/29/19 was 2978 which will accommodate 39 infants. During today's visit, director Cyndi Gomez, provided a waiver request for the outside play yard for infants. Director provided a copy of the infant outside play yard, to ensure no more than 39 infants will outside at the same time. In the Ducklings room, the newly added room, the changing table had been placed in front of the sink. The sanitizing cleaning solution is inaccessible to infants. This program does not provide potty training. There are no potty chairs for potty training infants. LPA was informed that licensee does use this room when day care services are not provided. Licensee, Hope Lutheran Church, is to ensure that the room is ready for licensed infant care after each use. During today's inspection, LPA observed that the soft foam sculptures' material are showing the fabric weave due to wear. LPA recommended to director that when the foam starts to show, the foam sculpture will need to be removed. Continued on the following page.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia Brannon	TELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LEARNING TREE, THE	FACILITY NUMBER: 103808371
	VISIT DATE: 12/05/2019

NARRATIVE

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In the Caterpillar classroom, licensee had the wall patched. Director informed LPA that the wall will be painted this weekend.

The infant play yard has one locked storage shed.

An updated fire clearance has been received.

The infant capacity will be increased from 30 to 45, as requested.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with director, Cynthia Gomez. A copy of this report need to be placed in facility file for public review. A Notice of Site Visit was posted on parent board.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia Brannon	TELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019

LIC809 (FAS) - (06/04)

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