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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 574500866
Report Date: 04/03/2024
Date Signed: 04/03/2024 12:08:44 PM

Document Has Been Signed on 04/03/2024 12:08 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:TREEHOUSE CHILDRENS CENTERFACILITY NUMBER:
574500866
ADMINISTRATOR:
ADMINISTRATOR/
DIRECTOR:		PECKHAM, JENNIFERFACILITY TYPE:
850
ADDRESS:418 HAVEN STTELEPHONE:
(916) 878-0585
CITY:WINTERSSTATE: CAZIP CODE:
95694
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 9DATE:
04/03/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
TIME VISIT/
INSPECTION BEGAN:
11:25 AM
MET WITH:Jennifer PeckhamTIME COMPLETED:
TIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Jennie Tedlos conducted a case management inspection for the purpose of inspecting a recently installed addition to the fencing in the Main Yard. LPA met with Director, Jennifer Peckham, LPA observed 9 children supervised by 3 staff. Criminal record clearances have been verified.

The facility attached a 16in. lattice to the top of their fencing in the Main Yard in order to meet the 4ft. Title-22 regulation. The fencing now measures 4ft. 3in. from the permanent cement edge containing the wood chips to the top of the lattice. In other areas of the Main Yard, the fencing measures 5ft. 2in. from the bottom of the fence to the top of the lattice.

LPA observed that the North Yard fencing met the 4ft. regulation without the lattice.

LPA reviewed report with the Director, Jennifer Peckham, and provided copies of the report along with Appeal Rights. A notice of site visit was provided and posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.


No Title 22 Deficiencies were cited during the visit.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2024
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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