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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700199
Report Date: 09/26/2024
Date Signed: 09/26/2024 12:24:55 PM

Document Has Been Signed on 09/26/2024 12:24 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:APPLE TREE UNIVERSITY PRESCHOOLFACILITY NUMBER:
195700199
ADMINISTRATOR/
DIRECTOR:		SEPTEMBER TRACEY EWINGFACILITY TYPE:
860
ADDRESS:18900 SATICOY STREETTELEPHONE:
(818) 996-9023
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY: 54TOTAL ENROLLED CHILDREN: 40CENSUS: 31DATE:
09/26/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Mariah Larkin-Ewing Program AdminastratorTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
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On 9/26/24, at 08:50 am, Licensing Program Analysts (LPAs) Jeanine Lipsey and Dawn Dowling arrived at the facility. Teacher Judy Kraner greeted and let LPAs into the facility. The purpose of the visit was to conduct an Annual-Required inspection. When the purpose of the visit was announced, Teacher Kraner phoned Program Administrator (PA) Mariah Larkin-Ewing to inform her that the Department was on site.

LPAs toured the infant classroom. There were 4 teachers and 10 infants present. PA Larkin-Ewing arrived at around 09:00 am. When LPA Lipsey asked for the Director, PA Larkin-Ewing explained that there had been a change of ownership and that they are now under a single license and operating under the name of Apple Tree University Preschool.

Licensing Program Manager Emiko Bell arrived at 09:30 am. As Toddlers Clubhouse is no longer in existence, an inspection was not completed, but a tour was taken of the Preschool classrooms in order to take census. There were 21 Pre-school children and 4 staff present.

Upon reviewing the Guardian associations, LPA Lipsey observed that Substitute Teacher Alma Portillo Vazquez was not associated and her clearance from 2019 is Inactive. She has been employed at the Center since 03/18/24. A citation has been issued and a civil penalty in the amount of $500 has been assessed.

Exit interview conducted and report was reviewed with PA Mariah Larkin-Ewing. A Notice of Site Visit was given to PA Mariah Larkin-Ewing and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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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Document Has Been Signed on 09/26/2024 12:24 PM - It Cannot Be Edited


Created By: Jeanine Lipsey On 09/26/2024 at 11:30 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: APPLE TREE UNIVERSITY PRESCHOOL
FACILITY NUMBER: 195700199

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/26/2024
Section Cited
CCR
101170(e)(1)

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CRIMINAL RECORD CLEARANCE
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department
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Program Administrator Mariah Larkin-Ewing immediately sent Alma Portillo Vazquez to get fingerprinted.
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This requirement is not met as evidenced by: Based upon review of the Guardia nassociations, Substitute Teacher Alma Portillo Vazquez was not associated.. She was hired on 03/18/24. A civil penalty of $500 has been assessed. This poses a potental health, safety or personal
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rights risk to the children in care, as she has an inactive Criminal Background Clearance.

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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:Betty Bell
LICENSING EVALUATOR NAME:Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2024


LIC809 (FAS) - (06/04)
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