Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421352
Report Date: 02/03/2016
Date Signed: 02/03/2016 01:00:33 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:LEARNING TREE, THEFACILITY NUMBER:
013421352
ADMINISTRATOR:SKOWRON, DIANAFACILITY TYPE:
850
ADDRESS:4161 EAST AVENUETELEPHONE:
(925) 447-8279
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY:59CENSUS: 55DATE:
02/03/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Diana (Skowron) GallegosTIME COMPLETED:
01:10 PM
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LPA Diana Stephenson met with Directors Diana (Skowron) Gallegos and Stephanie Baigorria for an unannounced Random visit. Present during the visit were Directors, Teachers; Carolyn (Lett) Beeman, Donna Gomez, Jessica Mears, Laura Lambert, Casie Peterson, Dawn Goebel and Marissa (Merkt) Florini, Teacher Aide Rachael Deluca and 55 children in care which consist of 5 toddlers and 50 preschool. LPA toured the facility and play yard for a health and safety inspection. A review of staff records on 2/3/16 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Personnel files were reviewed. Childrens files were reviewed. The teacher/child ratio was being met Bathrooms were clean and in working order. Snacks are provided by the facility; menu was posted. Electronic Sign In/Out was reviewed. The kitchen area was maintained in a clean manner. All posting requirements are being met. Outdoor play area was free of hazards and provided a shaded area for the children and access to drinking water. Medications are stored in a locked box in the kitchen which is inaccessible to children in care. There is a working telephone, working smoke detector and carbon monoxide detector at the facility. Opening and closing staff have current CPR and first aid training.

Incidental Medical Services were discussed with the Directors. The facility provides Incidental Medical Services - IMS. LPA reviewed storage of medication and equipment/supplies, reviewed children, personnel, and administrative records. Facility provided an updated plan of operation for providing IMS services to children in care.

There are no deficiencies cited during today's visit. This report must be available for public review for 3 years. A notice of site visit was given and posted by Director and must remain posted for 30 days. An exit interview was conducted.
SUPERVISOR'S NAME: Zakiya AliTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana StephensonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2016
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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