367750002-3-16-2023-12-CC-DMAX-CPYUG4-20230316153342

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367750002
Report Date: 03/16/2023
Date Signed: 03/16/2023 03:33:54 PM

Document Has Been Signed on 03/16/2023 03:33 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	OAK TREE LEARNING CENTER		FACILITY NUMBER:	367750002
ADMINISTRATOR:	CARTER, JENNIFER		FACILITY TYPE:	840
ADDRESS:	680 W. 40TH STREET		TELEPHONE:	(909) 882-6979
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92407
CAPACITY:	48	CENSUS: 2	DATE:	03/16/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Melissa Davis		TIME COMPLETED:	03:49 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) Maddox met with Director, Melissa Davis for the purpose of conducting and unannounced Req. 1 yr inspection. The hours of operation will be: Monday through Friday from 6:30AM TO 6:00PM. The front of the main building functions as a office area (Room #1) and pre-school area (X367750001). The school age area is located in the rear of the center. There is a Teacher's Lounge at the back of the main building with a staff bathroom. There is a separate detached building that's part of the School-age license, however, due to low enrollment, this building is not in use at this time. LPAs inspected Kitchen area for safety, cleanliness, proper equipment and protection against contamination and storage. Center serves breakfast, lunch, and afternoon snack (menus posted). Outdoor play area was inspected. There is an anchored swing set, teether ball, basketball court and air hockey tables. The area was observed to be free of debris. There is natural shade (trees) and resting areas for the children (benches). Children bring their own water bottles for outside drinking water, staff also bring out filtered water with disposable cups. There are no bodies of water observed on the premises. The playground is enclosed by a fence to protect children and to keep them in the outdoor activity area.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: OAK TREE LEARNING CENTER	FACILITY NUMBER: 367750002
	VISIT DATE: 03/16/2023

NARRATIVE

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**There are 2 bathrooms designated for school age children, each bathroom has 1 toilet and 1 sink. There's a separate staff bathroom located in the rear of the School-age room. LPA observed the bathrooms to be equipped with soap, toilet paper and paper towels, readily available. Toilets and sinks are functioning properly and age appropriate.

***School age children do not nap during regular school sessions, however, they will have quiet rest time in the summer and during the full day program.

**Outdoor play area was inspected. There is an anchored swing set, teether ball, basketball court and air hockey tables. The area was observed to be free of debris. There is natural shade (trees) and resting areas for the children (benches). Outside Drinking water is provided by a water fountain adjacent to the bungalow (on the backside of the main building). There are no bodies of water observed on the premises. The playground is enclosed by a fence to protect children and to keep them in the outdoor activity area.

**There is a Parent Board (located in the main entrance area) for documents that are required to be posted according to Title 22 Regulations. Sign in and out sheets(facility uses digital finger print) are available. LPA observed fully stocked first aid kits in the office and classrooms; fully charged fire extinguishers; carbon monoxide detectors are incorporated with the centers fire alarm system. Items that can be considered harmful or dangerous to children are located in locked cabinets throughout the facility

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: OAK TREE LEARNING CENTER	FACILITY NUMBER: 367750002
	VISIT DATE: 03/16/2023

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LPAs informed Owner of the requirement to report all Unusual Incidents (incidents that may threatened the health and safety of a child): Telephone call within 24 hours of occurrence and a written report (LIC 624) must be submitted within 7 days of occurrence.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Exit interview was conducted, Director was provided a copy of this report

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

LIC809 (FAS) - (06/04)

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