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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492871
Report Date: 10/08/2019
Date Signed: 10/08/2019 10:44:12 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME:LEARNING TREE PRESCHOOL, THEFACILITY NUMBER:
197492871
ADMINISTRATOR:CHAVEZ, MATTHEWFACILITY TYPE:
850
ADDRESS:43260 CHALLENGER WAYTELEPHONE:
(661) 942-8240
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:90CENSUS: 57DATE:
10/08/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:22 AM
MET WITH:Laura McCulloughTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Lady King-Lewis met with, Site Director, Laura McCullough today for the purpose of a Case Management inspection with regards of a self-reported unusual incident.

During this inspection, LPA and Director toured the areas of concern, took photos of classroom C142, and the Court Yard. LPA was informed all classroom doors are kept lock from the outside at all times. Children and staff can exit the classroom without a key. Director was unsure if child 1 was strong enough to open the door due to the weight of the door. Children's roster was not available at the time of inspection. Director will forward a copy to assigned LPA. Center uses the attendance sheets to account for children in care. Child 1 only attends school on Mondays, Wednesdays and Fridays, and staff person involved in the incident moving children from classroom C138, to C142 and to the final classroom C150 was not available at the time of the inspection.

Based on the information provided, further investigation is needed.

Notice of Site Visit form was given to be posted for 30 days.

An exit interview was conducted and a copy of this report was read and given to Site Director on this day.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Lady KingTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019
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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