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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191503389
Report Date: 07/25/2019
Date Signed: 07/25/2019 02:14:55 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LEARNING TREE PRESCHOOLFACILITY NUMBER:
191503389
ADMINISTRATOR:KELLY ECHEVERRIAFACILITY TYPE:
850
ADDRESS:19023 NORWALK BLVD.TELEPHONE:
(562) 860-6302
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY:60CENSUS: 34DATE:
07/25/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Kelly Echeverria, DirectorTIME COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) A. Lucero conducted a Case Management Deficiencies Inspection to address citation observed. There were 34 napping children present in the facility along with three teachers present at the time of inspection. LPA met with Director Kelly Echeverria who guided LPA on an indoor and outdoor tour of the facility.

During a complaint investigation, LPA determined during interviews that the facility did not notify the department of an outbreak of Hand, Foot and Mouth Disease (HFMD) that began July 10, 2019.

See deficiencies page for deficiencies cited during today's inspection.

Exit interview conducted with Director Kelly Echeverria. Appeal rights explained and provided.

"Notice of Site Visit" and report was issued. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LEARNING TREE PRESCHOOL
FACILITY NUMBER: 191503389
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/25/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/25/2019
Section Cited
CCR
101212(d)
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Reporting Requirements
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the
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Director stated that a report will be faxed to the department by POC date of 7/25/19.
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information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
The requirement is not met as evidenced by: During interviews, it was stated that the facility did not report an outbreak of HFMD to the department. This is a potential risk to children in care.
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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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2