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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492872
Report Date: 10/12/2023
Date Signed: 10/12/2023 11:01:14 AM

Document Has Been Signed on 10/12/2023 11:01 AM - 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:LEARNING TREE PRESCHOOL, THEFACILITY NUMBER:
197492872
ADMINISTRATOR:TANNER, MARTINFACILITY TYPE:
850
ADDRESS:44662 15TH STREET WESTTELEPHONE:
(661) 948-5071
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY: 225TOTAL ENROLLED CHILDREN: 225CENSUS: 21DATE:
10/12/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:52 AM
MET WITH:Director Karen AllenTIME COMPLETED:
11:15 AM
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On 10/12/2023 at 8:52am, Licensing Program Analyst (LPA) Andrea Pittman conducted an unannounced case management visit at the facility and was met by Site Supervisor Noelle Heflebower who permitted entry to the facility. LPA toured the facility with the Site Supervisor according to the facility sketch. Upon arrival, LPA observed 21 children with 2 staff members providing care and supervision to the classroom.

On 8/11/2023, the Site Supervisor Noelle Heflebower submitted a LIC 624- Unusual Incident Report stating that an incident occurred on 8/9/2023 in the preschool classroom involving Child 1 attempting to initiate inappropriate contact with Child 2. After observations, interviews, and record reviews, the following information was revealed about the incident resulting in the submission of the LIC 624-Unusual Incident Report:

During this investigation, LPA received pertinent documents related to this investigation, which included the facility’s staff and children’s rosters, reports, and other relevant investigation documents. It was revealed that Staff 1 was folding mats and transitioning the children to the sitting area. Staff 2 was helping the children and putting away mats, as well. Child 1 was standing over Child 2 in the carpet area of the classroom. When Child 1 made an inappropriate comment and gestured to Child 2. Staff 1 overheard the statement made by Child 1 and spoke with Staff 2 to ensure that they heard Child 1 correctly. Staff 1 then called Child 1 over and confirmed the inappropriate comment made by Child 1 and provided guidance to Child 1. Staff 1 notified the parents of Child 1 of the incident and completed the proper cross reporting. Additionally, the Director reported the incident to Licensing. LPA provided technical assistance with the regulations for 100% supervision and reporting requirements.

As a result, there are no citations being cited at this time. The center took proper action in protecting the children in care and properly reporting.

An exit interview was conducted, and a copy of this report was provided to Site Supervisor along with the Notice of Site Visit and Appeal Rights.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2023
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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