406215890-8-2-2022-17-CC-FPEA-CGWV74-20220802161031

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215890
Report Date: 08/02/2022
Date Signed: 08/02/2022 04:10:39 PM

Document Has Been Signed on 08/02/2022 04:10 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	LEARNING TREE, THE		FACILITY NUMBER:	406215890
ADMINISTRATOR:	KELSEY SULLIVAN		FACILITY TYPE:	840
ADDRESS:	2607 TRAFFIC WAY		TELEPHONE:	(805) 466-1133
CITY:	ATASCADERO	STATE: CA	ZIP CODE:	93422
CAPACITY:	36	CENSUS: 16	DATE:	08/02/2022
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Angelina Marziello		TIME COMPLETED:	04:25 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	On August 2, 2022 at 3:00 PM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Annual/Random inspection. LPA met with facility Lead Teacher Angelina Marziello and advised her the purpose of the inspection. Teacher provided LPA a tour of the facility inside and out. There was 16 children in care at the time of the inspection. This is a combined facility with a preschool program. The facility is using one (1) classroom for children in care. LPA observed licensing required documents posted on the wall at the entry of the classroom. Facility has enough restrooms for children in care. Children bring their snacks and lunches from home. LPA did not observe any hazards/toxins accessible to children in care. Facility stores cleaners and disinfectants in a secured closet room. LPA observed age appropriate toys, activities, books, and furniture readily accessible for children to use. Facility has a large outdoor recreation yard with toys and activities for the kids to use. Children have access to water inside and out. Some children bring their own water bottle from home. LPA reviewed a sampling of children and staff records. Children records were found to be complete and current. Staff files were observed to be current and complete. Staff present were fully qualified with current Mandated Reporter and CPR/First-aid certificates. Facility is following current Covid-19 guidelines. No deficiencies were cited during today's inspection. Continued on 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LEARNING TREE, THE	FACILITY NUMBER: 406215890
	VISIT DATE: 08/02/2022

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
26
27
28
29
30
31
32

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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Teacher

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2