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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215891
Report Date: 09/17/2021
Date Signed: 09/17/2021 03:49:00 PM

Document Has Been Signed on 09/17/2021 03:49 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:LEARNING TREE, THEFACILITY NUMBER:
406215891
ADMINISTRATOR:KELSEY SULLIVANFACILITY TYPE:
850
ADDRESS:2607 TRAFFIC WAYTELEPHONE:
(805) 466-1133
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY: 47TOTAL ENROLLED CHILDREN: 0CENSUS: 24DATE:
09/17/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Kelsey SullivanTIME COMPLETED:
02:50 PM
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On 9/17/2021 at 1:15pm, Licensing Program Analyst (LPA) Melissa Stewart conducted an unannounced, Required- 1 year inspection and met with Designated Facility Representative, Megan Johnson who reported that Director, Kelsey Sullivan was picking up kindergarteners from school. LPA conducted a Risk Assessment for COVID19 and all answers indicated no exposure to COVID19. The preschool operates, Monday - Friday, 7:45am - 4:30pm. All required forms, including monthly menu, are posted in the reception area of the preschool. The center was toured inside and outside. Staff wore face coverings. There were three (3) staff supervising 24 children laying on mats in the preschool room. The TV was on and some children were sleeping while others were resting quietly. The classroom was observed to be clean, organized and free of toxins. LPA observed indoor activity centers containing books, puzzles, manipulatives, blocks, arts and crafts and dramatic play materials. Director stated that children are encouraged to wear face coverings while indoors and has face coverings available for children at the entry area near the cubbies for children's belongings.

The center conducts monthly emergency and disaster drills. The most recent drill was held on 8/30/21. The first aid kit is stored in the children's restroom which was observed to be clean and sanitary. LPA observed the combination smoke and carbon monoxide detector mounted in the preschool room at 1:17pm. The detector was not tested at this time due to the children resting. Drinking water is available both inside and outside via individual water bottles brought from home or disposable cups. Director reported that there are no firearms, ammunition or bodies of water on the premises. No detergents, cleaning compounds, medications and other items such as kitchen knives which could pose a danger to children were observed to be accessible to children.

The outdoor activity area was inspected. Equipment was in safe condition free of sharp loose or pointed parts. LPA observed age appropriate riding toys, child sized tables located under a covered patio, outdoor hand washing sink, sandbox, and artificial grass area with tunnel. Continued on 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Melissa K Stewart
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LEARNING TREE, THE
FACILITY NUMBER: 406215891
VISIT DATE: 09/17/2021
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There is an age appropriate climbing structure with artificial grass mat beneath the climbing platform. The climbing structure with slide is located on asphalt. LPA advised Director to consult the manufacturers recommendation for cushioning material to absorb a fall around the equipment.

At least one staff present today has current Pediatric CPR and First Aid certification expiring 3/10/2022. Staff have met immunization requirements per SB 792 and completed AB 1207 Mandated Reporter Training. LPA reminded Director that the Mandated Reporter training must be renewed every two (2) years. Center conducts monthly meetings which include on the job training in housekeeping and sanitation principles including universal precautions. All staff present today participated in the training held on 9/9/2021. Staff files reviewed for medical assessment indicating that staff is in good health. Child Care Facility Roster and a sample of children’s files were reviewed and found complete.



Incidental Medical Services (IMS) policy was discussed. Director reported that that there are no children currently enrolled who require IMS. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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: www.ada.gov/childqanda.htm

Director reported that the “Effects of Lead Exposure” brochure (PUB515) is distributed to all families at time of enrollment. LPA advised that Community Care Licensing Division (CCLD) Provider Information Notices (PINs), Title 22, Division 12 regulations and California Department of Public Health COVID-19 guidelines for child care programs can be accessed on-line at www.cdss.ca.gov. COVID19 Information for San Luis Obispo County can be found at https://www.emergencyslo.org/en/covid19.aspx.

In all areas evaluated, no deficiencies cited.

A copy of this report and appeal rights were discussed and left with Kelsey Sullivan, whose signature on this form confirm receipt of these documents.

LPA provided a Notice of Site Visit (LIC 9213) to be posted. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Melissa K Stewart
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2021
LIC809 (FAS) - (06/04)
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