573615921-9-16-2019-53-CC-ASIA-BG3TW8-20190916150506

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 573615921
Report Date: 09/16/2019
Date Signed: 09/16/2019 03:05:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	TREE HOUSE CHILDREN'S CENTER, THE		FACILITY NUMBER:	573615921
ADMINISTRATOR:	MOORE, CHERYL		FACILITY TYPE:	840
ADDRESS:	418 HAVEN STREET		TELEPHONE:	(530) 795-0123
CITY:	WINTERS	STATE: CA	ZIP CODE:	95694
CAPACITY:	45	CENSUS: 18	DATE:	09/16/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Cheryl Moore		TIME COMPLETED:	03:30 PM

NARRATIVE

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Licensing Program Analysts (LPAs) Amy Silva and Seychelle De Luca met with owner Cheryl Moore for the purpose of an unannounced annual random inspection. Owner was reminded never to exceed the conditions, limitations, and capacity specified on the license. Upon arrival, LPAs observed 18 school-age children supervised by 5 staff members. Facility hours of operation are Monday through Friday from 7:00 AM to 8:15 AM and 12:15 PM to 5:30 PM.

LPAs toured all classrooms, restrooms, and outdoor play areas. Medications are appropriately stored an inaccessible to children in care. Owner stated there are no poisons on the premises. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. Toileting facilities are in safe, sanitary, and operating condition. The floors appeared clean throughout the facility. All food was protected against contamination. Storage containers with solid waste have tight-fitting covers. Program provides breakfast, tea time and after school snack. Menus were posted and drinking water was readily available to children both indoors and outdoors. LPAs observed full legal signatures while reviewing the sign in and sign out sheets.

Three staff and two children's records were reviewed. Each child's file contained an emergency card and a medical assessment. At least one staff member present today has current Pediatric CPR and First Aid certification (exp. 1/12/2021).

Report continues on 809-C.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Amy Silva	TELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: TREE HOUSE CHILDREN'S CENTER, THE	FACILITY NUMBER: 573615921
	VISIT DATE: 09/16/2019

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All staff currently employed with the facility have a criminal record clearance, health screening report, mandated reporter training certificates, immunization records, and documentation of the educational background, training, and/or experience. There are no firearms or bodies of water on the premises. LPAs observed a functional carbon monoxide detector. LPAs reminded the Owner that 100% supervision is required at all times, including in the bathroom. LPAs reviewed the Department's inspection authority and discussed with Owner any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

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.

LPAs provided and discussed Effects of Lead Exposure brochure.

This facility evaluation report was reviewed and discussed with Owner. A Notice of Site Visit provided and should remain posted for a period of 30 days for parental review. Owner was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. An exit interview was conducted and in the areas that were evaluated, no deficiencies were observed at the time of the inspection.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Amy Silva	TELEPHONE: (916) 926-9100
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

LIC809 (FAS) - (06/04)

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