430702587-2-12-2020-52-CC-DCOR-BLQPUM-20200212103747

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430702587
Report Date: 02/12/2020
Date Signed: 02/12/2020 10:37:55 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	LEARNING CENTER, THE		FACILITY NUMBER:	430702587
ADMINISTRATOR:	REBECCA JACKSON		FACILITY TYPE:	850
ADDRESS:	459 KINGSLEY AVE		TELEPHONE:	(650) 325-6683
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94301
CAPACITY:	30	CENSUS: 28	DATE:	02/12/2020
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Paula Evans-Fitch		TIME COMPLETED:	10:40 AM

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	LPA Dayna Collier met with Executive Director Paula Evans-Fitch for a case management inspection as a result of receiving an unusual incident report. During the inspection, there were 7 staff members supervising 28 children in care. An incident occurred when a child was left alone on the playground. Per staff, procedure is to close off the sand yard at the end of the day. When the sand yard was closed, staff did not notice that there was one child left in the yard. When the child's parent arrived, the parent retrieved the child from the sand yard. Per staff, the child was unsupervised for about 10 minutes without staff's knowledge. The attached type A deficiency is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parent/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. An exit interview was conducted and the report was discussed. Licensee was provided a copy of their appeal rights (LIC 9058 12/15) and the signature on this form acknowledges receipt of these rights. A SITE VISIT NOTICE WAS POSTED BY THE DIRECTOR.

SUPERVISOR'S NAME: Diane Perez	TELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna Collier	TELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LEARNING CENTER, THE	FACILITY NUMBER: 430702587
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/12/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/19/2020 Section Cited	1 2 3 4 5 6 7	101229 Responsibility for Providing Care and Supervision (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by report review and interviews. This poses an immediate risk to the health and safety of children in care. A CHILD WAS LEFT ALONE ON THE YARD WITHOUT STAFF'S KNOWLEDGE AND/OR OBSERVATION. A LIC 421IM FORM WAS GIVEN TO DIR.	8 9 10 11 12 13 14	UNTIL CORRECTED. ANY SUBSEQUENT VIOLATIONS WITHIN A 12 MONTH PERIOD MAY RESULT IN AN IMMEDIATE CIVIL PENALTY OF $1000.
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Diane Perez	TELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna Collier	TELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020

LIC809 (FAS) - (06/04)

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