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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750001
Report Date: 02/09/2024
Date Signed: 02/09/2024 03:37:22 PM

Document Has Been Signed on 02/09/2024 03:37 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:OAK TREE LEARNING CENTERFACILITY NUMBER:
367750001
ADMINISTRATOR:CARTER, JENNIFERFACILITY TYPE:
850
ADDRESS:680 W 40TH STTELEPHONE:
(909) 882-6979
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 22DATE:
02/09/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Melissa DavisTIME COMPLETED:
02:01 PM
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Licensing Program Analyst (LPA) Babatunde Ibitoye met with the facility Director, Melissa Davis for the Required Annual inspection for the preschool in accordance with the facility sketch.A tour of the facility was conducted.Upon arrival LPA observed 3 classrooms in use with a total of 22 preschool children.There were 3 teachers on the premises and the director.This center has 2 separate buildings, the preschool occupies the front area of the center, and the school age component(367750002) occupies the the rear part of the main area and the detached building.The hours of operation are 6:30am - 6:30 pm Monday - Friday. Incidental Medical Services (IMS) were discussed.

Indoor/Children’s Area:
LPA observed age appropriate furniture, equipment, toys and materials.The classrooms were observed to be clean and safe and free of any Health or safety hazards.Telephone service was verified as well as adequate heating, lighting, and ventilation. Children's belongings are kept in cubbies and hooks for jackets along the wall as you enter classrooms.Drinking water is available inside in the form of water bottles and filtered water.
  • The children's bathroom is located in the main entrance area.The bathroom has 6 toilets and 7 sinks. The staff rest-room is located in the rear of the 1st building.LPA observed the bathrooms to be clean and sanitary, with soap, toilet paper and paper towels readily available.Toilets and sinks are functioning
  • Center has stackable cots, individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding.
  • First Aid supplies, smoke detector, carbon monoxide and fire extinguishers were observed and in operable condition. Medications are locked and stored inside of a cabinet in the site supervisor's work space.Trash cans with tight lids were observed.
  • Children files were reviewed and found to be complete.The facility roster (via bright wheel) and fire drills were up to date, and all staff have been fingerprinted and associated to the designated license number. The last fire and emergency disaster drill documented was on 01/31/2024.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: OAK TREE LEARNING CENTER
FACILITY NUMBER: 367750001
VISIT DATE: 02/09/2024
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  • Napping Cots used are maintained in good condition, wiped/cleaned/disinfected (daily) weekly or when soiled, no contact with other children bedding, there is access to a safe walkway. Each cot was equipped with a sheet to cover the cot or mat and a sheet and/or blanket to cover the child. All flooring and carpets were inspected for cleanliness, and in good repair.
  • Sign in and out sheets - Center uses an App (Bright wheel ) which allows parents to sign in and out electronically. were inspected and contain full legal signatures.
  • Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Center utilizes sand and wood chips under climbing structures for cushioning material and there is sufficient and adequate shade available (natural shade from trees and covered patio area. Large play equipment and climbing structures are securely anchored. The area was observed to be free of debris. Outside Drinking water is available via filtered water pitcher and children bring their own water bottles outside. Sandboxes are raked and inspected daily and kept free of hazardous foreign materials. There are no bodies of water observed on the premises. The playground is enclosed by a fence to protect children and to keep them in the outdoor activity area.
  • Food preparation area/Kitchen was inspected for safety, cleanliness, proper equipment & protection against contamination and storage. Center serves breakfast and lunch, menus observed and posted. Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children were stored and inaccessible to children

  • Director advised of the requirement to report Unusual Incidents. Licensee informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.
  • HEALTH RELATED SERVICES: Medications inaccessible to children; all prescription and non prescription medications have child’s name and are dated; written consent and instruction from child’s representative; a plan to document and report to child’s representative when medication is administered to a child; IMS plan on file (if applicable).
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: OAK TREE LEARNING CENTER
FACILITY NUMBER: 367750001
VISIT DATE: 02/09/2024
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A review of medication policy indicated that prescription medication is administered only with parent's written permission and or doctor prescription. The Director and other administration staff administers medication and documents the dosage, date and time onto a log. Medication is brought and locked at the center (unless parent request daily return). Medication is properly labeled and stored in its original container. Medication is kept at the center until expiration date (given to parent or discarded).

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records.For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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/childquanda.htm

Staff/Personnel Records
Director is qualified, Designation of Responsibility observed, immunization's, TB clearance, health screening, criminal record statement, statement acknowledging suspected child abuse and mandated reporter were observed in file.

Posting Requirements
Failure to comply with posting requirements shall result in an immediate civil penalty.
The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 393L), menu, car seat law (PUB 269), emergency disaster plan, earthquake preparedness checklist.

Advisory/Other: First Aid kit was observed with supplies ( readily available. CPR/First Aid expire 01/13/2026. Mandated Reporter 04/17/2025. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/play equipment were observed on the premises. There are no window cords accessible to children.

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: OAK TREE LEARNING CENTER
FACILITY NUMBER: 367750001
VISIT DATE: 02/09/2024
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Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. Director shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of child care center or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
A notice of site visit was given and must remain posted for 30 days.Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Consultation was provided during this inspection

No deficiency. LPA Issued 1 Technical Advisory Note. See LIC9102. The On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.

Exit interview conducted and report was reviewed with Director Melissa Davis


SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC809 (FAS) - (06/04)
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