<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492873
Report Date: 10/24/2019
Date Signed: 10/24/2019 05:13:10 PM

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:
197492873
ADMINISTRATOR:CHAVEZ, MATTHEWFACILITY TYPE:
850
ADDRESS:39625 20TH STREET WESTTELEPHONE:
(661) 266-4900
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:86CENSUS: 23DATE:
10/24/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
04:31 PM
MET WITH:Sheri Potter TIME COMPLETED:
05:15 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) Victoria Hunt conducted an unannounced annual random inspection at The Learning Tree Preschool. During today's inspection LPA observed 3 staff and 23 children present. LPA met with Site Director Sheri Potter.

During today's inspection LPA reviewed staff records, the records viewed were complete. Due to time constraints, a full inspection of the facility was not completed. LPA will return to the facility at a later date to complete the inspection.

No citation were cited during today's inspection. A copy of this report was discussed and read to the director.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019
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 1