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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215891
Report Date: 10/08/2024
Date Signed: 10/08/2024 01:55:32 PM

Document Has Been Signed on 10/08/2024 01:55 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:LEARNING TREE, THEFACILITY NUMBER:
406215891
ADMINISTRATOR/
DIRECTOR:
KELSEY SULLIVANFACILITY TYPE:
850
ADDRESS:2607 TRAFFIC WAYTELEPHONE:
(805) 466-1133
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY: 47TOTAL ENROLLED CHILDREN: 47CENSUS: 39DATE:
10/08/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Kelsey SullivanTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
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On 10/8/24, at 11:30 AM, Licensing Program Analysts (LPAs) Shane Loftus & Elvin Baddley conducted an unannounced Annual/Random inspection of the abovementioned Child Care Center (CCC). LPAs met with Kelsey Sullivan, Director of the CCC. LPAs explained the purpose and nature of the inspection. The preschool operates Monday – Friday 7:45 AM – 4:30 PM. The CCC has 2 classrooms, 2 bathrooms, and 2 outdoor play areas which are separated by a gate. At the time of inspection, LPAs observed 39 children on site, along with 4 teachers. The CCC's Director is assisting with the care and supervision of children on site.

LPAs observed required licensing forms and documents posted in the main hallway of the CCC. The facility uses the Bright Wheel Application to sign children in/out of the CCC. LPA reviewed CCC Sign In/Out information and notes all information to be completed appropriately, having the authorized parent's electronic signature as well as entry and exit times. The CCC last conducted a fire drill on 9/11/24. The classrooms of the CCC are clean and orderly. The classrooms have age-appropriate equipment and furnishings available to children in care. The CCC's carbon monoxide detector was tested at 12:00 PM and found to be functional.



The CCC uses two restrooms, both are in sanitary operating condition. The CCC children are monitored by staff when using the restrooms. A morning snack, lunch, and afternoon snacks are provided by the children’s parents. The CCC provides occasional snacks such as granola bars if needed. CCC children bring bottled water from home. The CCC provides bottled drinking water for children at the CCC when needed. At 12:30 PM, LPAs were informed the CCC has not had its water sources tested lead contamination. LPAs reminded Director of the obligation to have the CCC's water sources tested for lead contaminates.

CCCs constructed before 1/1/20, to test their water (used for drinking and food preparation) for lead contamination before 1/1/23, and then every 5-years except after the date of the first test. For child care center licenses issued after 7/1/22, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

Continued 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 10/08/2024 01:55 PM - It Cannot Be Edited


Created By: Shane Loftus On 10/08/2024 at 01:23 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LEARNING TREE, THE

FACILITY NUMBER: 406215891

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above in that lead testing has not yet been completed which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/18/2024
Plan of Correction
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Licensee has an appointment for lead testing at the Child Care Center at the latest by November 15th. Licensee will submit lead testing documentation to CCLD (shane.loftus@dss.ca.gov) by the following business day 11/18/24.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Shane Loftus
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2024


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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LEARNING TREE, THE
FACILITY NUMBER: 406215891
VISIT DATE: 10/08/2024
NARRATIVE
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Disinfectants, cleaning solutions and sharps are observed in locations accessible to staff members but inaccessible to children in care.

The CCC’s outdoor playground areas are separated by a gate. The fence’s entry/exit gates are secured. The surfaces of the outdoor playground areas are varied. LPAs observed age-appropriate play equipment in the play areas. The play equipment is free of sharp, loose or pointed objects. The play structures in the outdoor playground areas have adequate cushioning materials to absorb falls. No bodies of water are observed on site.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information, among other required licensing documentation and forms. Staff records were reviewed and found to have current Mandated Reporter training certifications as well as other required documents. Director was reminded to ensure training certification are kept current. Director notes no firearms or ammunition are stored on site.

This CCC does not provide Incidental Medical Services – IMS. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative was reminded that all adults 18 and over, including employees and volunteers,
as specified in HSC section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.



Continued on 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LEARNING TREE, THE
FACILITY NUMBER: 406215891
VISIT DATE: 10/08/2024
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Type B Deficiency is being cited based on LPAs' observation/interviews/record reviews pursuant to Title 22 of the CA Code of Regulations and HSC) (refer to LIC 809-D). Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

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 Kelsey Sullivan.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC809 (FAS) - (06/04)
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