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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334801927
Report Date: 07/14/2021
Date Signed: 07/14/2021 07:47:45 PM

Document Has Been Signed on 07/14/2021 07:47 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:PALM DESERT LEARNING TREE CENTERFACILITY NUMBER:
334801927
ADMINISTRATOR:A. MORWAY & D. CRAVENFACILITY TYPE:
850
ADDRESS:42-675 WASHINGTON STREETTELEPHONE:
(760) 345-8100
CITY:PALM DESERTSTATE: CAZIP CODE:
92211
CAPACITY: 78TOTAL ENROLLED CHILDREN: 0CENSUS: 17DATE:
07/14/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:Angela Morway and Druscilla CravenTIME COMPLETED:
07:50 PM
NARRATIVE
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On 7/14/21 at 4:45 pm, Licensing Program Analyst's (LPAs) Laura Mejorado and Destinee Hogue arrived at the facility to conduct an inspection for a separate purpose. LPA toured the facility, took census and verified staff's criminal record clearances and association to facility.

See LIC809D for deficiency cited per California Code of Regulations Title 22, Division 12.

An exit interview was conducted, and a copy of this report was provided to Director's on this date. Also,
Director's were provided a copy of their appeal rights (LIC9058) and their signature on this form acknowledges receipt of these rights.

A copy of this report must be made available to the public for 3 years.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2021
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 07/14/2021 07:47 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Laura Mejorado On 07/14/2021 at 06:00 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: PALM DESERT LEARNING TREE CENTER
FACILITY NUMBER: 334801927

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
07/14/2021
Section Cited
CCR
101170(e)(1)

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Criminal Record Clearance. (e) All
individuals subject to a criminal record
review...shall prior to working, residing or
volunteering in a licensed facility: (2)Request a transfer of a criminal record clearance as specified in Section 101170(f)...
This requirement was not met as evidenced by:
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Director agreed to have Staff #2 fingerprinted and agreed Staff #2 will not work or be present at the facility until she has obtained a criminal record clearance or exemption. During this inspection, Director submitted a copy of LIC9188, LIC508, and copy of photo ID.
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Based on review of records, it was found that staff member #2 was supervising children in care with no criminal record fingerprint association to the facility. This poses an immediate health, safety, and personal rights risk to children in care.
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Director agrees to submit LIC9163-Request for LiveScan and all pages of the LIC508-Criminal Record Statement to LPA Mejorado by end of day on 07/15/2021. During this inspection, LPAs provided Director's with a checklist for assistant/volunteer requirments.
Under Appeal
Type A
07/14/2021
Section Cited
CCR101170(e)(2)

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Criminal Record Clearance. (e) All
individuals subject to a criminal record
review...shall prior to working, residing or
volunteering in a licensed facility: (2)Request a transfer of a criminal record clearance as specified in Section 101170(f)...
This requirement was not met as evidenced by:
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Director agrees to submit an updated LIC508 for Staff #1 and Staff #3. Director agrees to submit the LIC9182 for Staff #3 to LPA Mejorado within 24 hours. During this inspection, LPA obtained copies of photo IDs for Staff #1 and Staff #3 during this inspection.
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Based on review of records, it was found that staff members #1 and #3 were supervising children in care with no criminal record fingerprint association to the facility. This poses an immediate health, safety, and personal rights risk to children in care.
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LPAs provided Director's with checklist for assistant/volunteer requirement's.
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:Kimberly Williams
LICENSING EVALUATOR NAME:Laura Mejorado
LICENSING EVALUATOR SIGNATURE:
DATE: 07/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/14/2021


LIC809 (FAS) - (06/04)
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