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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013418973
Report Date: 03/06/2024
Date Signed: 03/06/2024 03:02:59 PM

Document Has Been Signed on 03/06/2024 03:02 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LEARNING TREE, THEFACILITY NUMBER:
013418973
ADMINISTRATOR:COLGAN, JENNAFACILITY TYPE:
850
ADDRESS:34050 PASEO PADRE PKWYTELEPHONE:
(510) 791-6161
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY: 104TOTAL ENROLLED CHILDREN: 51CENSUS: 39DATE:
03/06/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:09 PM
MET WITH:Alexandra Lee-CappsTIME COMPLETED:
03:15 PM
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On 03/06/2024 at 9:10AM, Licensing Program Analyst (LPA) Jaleesa Jackson conducted an unannounced Plan of Correction (POC) visit. LPA met with the Office Manager Alexandra (Alee) Capps and explained the purpose of today's visit. Present on this visit were 6 staff, 36 preschool aged children, and 3 toddlers. Facility operates from The facility operates from Monday to Friday, 7:00AM - 6:00PM.

On 02/21/2024, LPA conducted a case management visit. The facility received 1 type A violation for having an volunteer that is except from criminal record clearance left alone with children in care without having a staff member with criminal record clearance present.

The Assistant Director and LPA developed a POC with a submission due date on 02/22/2024. The Licensee submitted the Plan of Correction documents to the LPA by the POC date. All children's files have the signed LIC9224.

LPA generated a Letter of Deficiency Citations Cleared and provided a copy to the Office Manager.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative Alexandra (Alee) Capps.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2024
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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