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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334801927
Report Date: 09/28/2021
Date Signed: 09/30/2021 02:03:46 PM

Document Has Been Signed on 09/30/2021 02:03 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:PALM DESERT LEARNING TREE CENTERFACILITY NUMBER:
334801927
ADMINISTRATOR:A. MORWAY & D. CRAVENFACILITY TYPE:
850
ADDRESS:42-675 WASHINGTON STREETTELEPHONE:
(760) 345-8100
CITY:PALM DESERTSTATE: CAZIP CODE:
92211
CAPACITY: 78TOTAL ENROLLED CHILDREN: 0CENSUS: 22DATE:
09/28/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Angela Morway and Druscilla CravenTIME COMPLETED:
04:15 PM
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On 09/28/2021 at 3:40pm, Licensing Program Analyst (LPA) Laura Mejorado conducted an unannounced case management inspection to deliver the civil penalty assessment discussed on 09/23/2021. During this inspection, LPA met with Director Angela Morway and Druscilla Craven and discussed the following:

On 09/23/2021 during the Non-Compliance Conference, the Department discussed issuing an immediate $500 civil penalty for the serious injury which occurred due to lack of supervision. LPA is here today to deliver the civil penalty assessment (LIC421IM) discussed on 09/23/2021.

Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

An exit interview was conducted, and a Notice of Site Visit was provided and must be posted for 30 days.


The signature below acknowledges this information was reviewed with Director Angela Morway and Druscilla Craven.

A copy of this report must be made available upon request, to the public, for three years.

Kimberly Williams
Laura Mejorado
DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2021
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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