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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495443
Report Date: 11/04/2025
Date Signed: 11/04/2025 04:18:22 PM

Document Has Been Signed on 11/04/2025 04:18 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:VILLAGE TREE PRESCHOOLFACILITY NUMBER:
197495443
ADMINISTRATOR/
DIRECTOR:		MAKHALIA CAUSEYFACILITY TYPE:
860
ADDRESS:3754 DUNN DRIVETELEPHONE:
(424) 298-8658
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY: 130TOTAL ENROLLED CHILDREN: 130CENSUS: 40DATE:
11/04/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:MAKHAILA CAUSEY, DIRECTORTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
NARRATIVE
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On 11/04/2025 LPA Clayton conducted an unannounced Case Management inspection at the CCC. LPA was greeted by Director Makhaila Causey. LPA Clayton toured the CCC inside and outside for Health & Safety inspection, and observed 11 infants and 29 preschool children, being supervised, and cared for by 12 fingerprint cleared staff.

On October 14, 2025, LPA Clayton conducted an inspection and observed the following:

· Children’s bathroom #2 with 4 sinks and 4 toilets was inoperable, off limits to children and being used as a storage area

· An area on the main play yard being used by infants ages 18 – 36 months because the toddler yard was not being used due to a water leak which kept the surface wet and unsafe for children in care.

During today’s inspection, LPA Clayton observed the bathroom cleared of the stored items, but per Director Makhaila, still inoperable because none of the 4 sinks are working. LPA Clayton also observed the infant/toddler play yard clean, dry and in use. LPA Clayton discussed that the parking lot is off-limits to children in care and not to be used as a substitute for the play yard.

LPA Clayton reminded Director Makhaila of the following Title 22 Regulations:

· The requirement to report any situations where an area licensed as on-limits to children in care is made off-limits for any reason.

· The Infant activity space shall be physically separate from space used by children in the child care center.

· Of the children’s right to be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 11/04/2025 04:18 PM - It Cannot Be Edited


Created By: Lisa Clayton On 11/04/2025 at 10:44 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: VILLAGE TREE PRESCHOOL
FACILITY NUMBER: 197495443

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/04/2025
Section Cited
CCR
101438.2(a)(b)

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101438.2 Outdoor Activity Space for Infants (a) In addition to Section 101238.2, the following shall apply: (b) Outdoor activity space shall be physically separate from space used by children in the child care center and school-age child care center components.

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Director will ensure that infants and toddlers use the play yard that meets Title 22 regulations. If the yard becomes unusable, the Director will contact the department for guidance and request a waiver as needed.
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This requirement was not met as evidenced by: LPA Clayton observation and Directors acknowledgment that the infant were using the preschool yard during the time that the infant/toddler yard was made off-limits due to a plumbing issue, which posed an immediate Health & Safety risk to children in care.
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Type A
11/04/2025
Section Cited
CCR101223(a)(2)

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101223(a)(2) (a)The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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Director Makhaila and staff are required Licensee and staff are to watch the Children's Personal Rights in Child Care video on the Licensing Website and to provide a written Declaration of Understanding of the requirements on the provided Declaration form (LIC 855) to the Department via USPS no later than November 14, 2025
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This requirement was not met as evidenced by: LPA Clayton observation that the toddlers were playing in the parking lot when their play yard was not in use due to a plumbing issue, which poses an immedicate Health and Safety risk to children in care.
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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.
Karren Starks
NAME OF LICENSING PROGRAM MANAGER:
Lisa Clayton
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/04/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/04/2025 04:18 PM - It Cannot Be Edited


Created By: Lisa Clayton On 11/04/2025 at 12:53 PM
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: VILLAGE TREE PRESCHOOL
FACILITY NUMBER: 197495443

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/04/2025
Section Cited
CCR
101212(d)(1)(4)

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(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone……..Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days…….(1) Events reported shall include the following: (4) Any changes in the plan of operation that affect services to children.

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Director Makhaila and staff are required Licensee and staff are to watch the Child Care Reporting Requirements video on the Licensing Website and to provide a written Declaration of Understanding of the requirements on the provided Declaration form (LIC 855) to the Department via USPS no later than November 14, 2025
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This requirement was not met as evidenced by: Directors failure to report that the infant/toddler yard had plumbing issues that made the yard unusable, which posed an immediate Health and Safety Risk to children in care.
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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.
Karren Starks
NAME OF LICENSING PROGRAM MANAGER:
Lisa Clayton
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/04/2025


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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VILLAGE TREE PRESCHOOL
FACILITY NUMBER: 197495443
VISIT DATE: 11/04/2025
NARRATIVE
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Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, Type A, Type B deficiencies and a Technical Violation are cited today (see LIC 809D). The facility expected to fix the 4 sinks in student bathroom #2 no later than Friday November 7, 2025.

An exit interview was conducted, and this report and Appeal Rights were discussed and provided to Director Makhaila.

LPA Clayton posted a notice of site visit which must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
LIC809 (FAS) - (06/04)
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