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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215891
Report Date: 01/14/2025
Date Signed: 01/14/2025 03:26:59 PM

Document Has Been Signed on 01/14/2025 03:26 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/
DIRECTOR:		KELSEY SULLIVANFACILITY TYPE:
850
ADDRESS:2607 TRAFFIC WAYTELEPHONE:
(805) 466-1133
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY: 47TOTAL ENROLLED CHILDREN: 47CENSUS: 26DATE:
01/14/2025
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Kelsey SullivanTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
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On 1/14/2025, at 1:30 PM, Licensing Program Analysts (LPAs) Gigi Reyes and Matthew Sapien conducted an unannounced Case Management inspection to follow-up on an Action Level Exceedance (ALE) reported to the Regional Office by the Division of Drinking Water (DDW), LPA met with Director Kelsey Sullivan and explained the purpose of the inspection. Director provided LPAs a tour of the facility. There were 26 children in the napping area under the supervision of 2 staff and director.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Childcare Centers (CCCs) constructed before January 1, 2010, to test their drinking water for lead contamination between January 1, 2020, and January 1, 2023, and then every five (5) years after the date of the first test. If the water testing results indicate that the facility has an ALE, an immediate response shall be required pursuant to section 101700.3, which may include remediation.

The Regional Office received an ALE for one (1 ) water outlet in this facility. The Center was notified by LPA Reyes and LPA Sapien. One (1) fixture labeled B exceeded the 5-ppb action level. The said fixture is the drinking fountain with ALE of 28-ppb. Director informed LPAs that it is shut off and was never used.

Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: 01/14/2025
NARRATIVE
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During today’s inspection, LPA toured the entire facility and inspected the outlet in question. LPAs observed that the affected fixtures labeled B were shut off.
Director stated they have not been using the water fountain nor the kitchen faucet because the children bring their own refillable water bottle and Center purchases cases of bottled water to refill the children's water bottles.

LPAs advised that testing report must be posted and parents/authorized representative must be informed of the ALE.

LPA provided a copy of PUB 515 and discussed the need for the Center to share this with families.

LPA discussed a plan of correction with the director and informed director the Plan of Correction for lead exceedances must include notification of parents and information about what has been done (their current response, such as water fixture put out of use, and bottled water is being provided) and remediation plans for all water outlets. Director stated that they have done and considering the following actions.

· Notified all parents and staff that one (1) drinking fountain has exceeded the
allowable limit for lead.
· CCC uses only bottled water for drinking and refilling purposes in the inside and outside the classroom

Continued on LIC 809 C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
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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: 01/14/2025
NARRATIVE
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 LPAs informed Director that parents must acknowledge receipt of licensing report and Plan of Correction
LPA shared the following resources quick references:
Quick references:
· PIN 22-06-CCP - Lead Testing in Childcare Centers – Frequently Asked Questions
· PIN 21-21-CCP - Release of the Written Directives for Lead Testing of Water in Licensed Childcare Centers Per AB 2370

A type B deficiency is being cited today. Appeal rights was provided.

Exit interview conducted and report was reviewed with the Director, Kelsey Sullivan


SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
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Document Has Been Signed on 01/14/2025 03:26 PM - It Cannot Be Edited


Created By: Gigi Reyes On 01/14/2025 at 02:43 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: 01/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2025
Section Cited
CCR
101700.3(b)(1)

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101700.3 California Lead Action Level at Child Care Centers
(b) Testing results with fractional ppb readings of 0.5 ppb or greater ... the Action Level.
(1) A result with values of 5.5 ppb ... shall be deemed an Action Level Exceedance.
This requirement is not met as evidenced by:
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Child Care Center has taken the following actions: Shutoff the drinking fountain and notified parents of the water testing results, and shall continue provide bottled water to children. Director will send written plan of correction no later than 1/24/2025.
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CCC conducted water lead testing and one (1) water outlet exceeded the action level exceedance per regulations. This poses a potential risk to the health and safety of the children in care.
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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:Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 01/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/14/2025


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