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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503601238
Report Date: 06/22/2023
Date Signed: 06/22/2023 12:51:01 PM

Document Has Been Signed on 06/22/2023 12:51 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:LEARNING TREE, THEFACILITY NUMBER:
503601238
ADMINISTRATOR:O'NEILL, JONYCEFACILITY TYPE:
850
ADDRESS:1480 POPLAR AVENUETELEPHONE:
(209) 847-4050
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: DATE:
06/22/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Debbie Van LewenTIME COMPLETED:
01:00 PM
NARRATIVE
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On 06/22/2023, Licensing Program Analyst (LPA), Anita Tristan met with Teacher, Debbie Van Lewen for an unannounced Case Management-Incident. Director, Jonyce O’Neill was on vacation. LPA toured the facility, and a census was taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 05/05/2023, where child #1 had hit a teacher a few times and then hit the Director, Jonyce. Jonyce then took the wooden block that child #1 had hit her with and hit child #1’s hand with the wooden block.

LPA interviewed Staff #1 who was also hit by child #1. Child #1 did not return to the facility; last day of attendance was 5/5/2023. Facility discipline policy in place, but was not followed with Child #1.

Based on the information obtained by LPA Anita Tristan that Staff #1 confirmed that Director did hit child #1. Unusual Incident Report states that child #1 was hit with a wooden block; however, Staff #1 confirmed that child #1 was hit with a plastic toy not a wooden block as stated in report.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations a Type B deficiency is being cited today.

Exit interview conducted with Teacher, Debbie Van Lewen. A copy of the Appeal Rights was provided and discussed. Notice of Site Visit to be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/22/2023
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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Document Has Been Signed on 06/22/2023 12:51 PM - It Cannot Be Edited


Created By: Anita Tristan On 06/22/2023 at 12:16 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LEARNING TREE, THE
FACILITY NUMBER: 503601238

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/07/2023
Section Cited
CCR
101223(a)(3)

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(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by:

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Teacher stated that they will conduct a staff training on how to handle children and will submit copy of agenda and copy of staff sign in sheet to Licensing by POC due date 7/14/2023.
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Based on interviews conducted, it was confirmed that the director hit child #1 with a plastic toy. This poses an immediate risk to the health, safety, or personal rights to 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:Cynthia Brannon
LICENSING EVALUATOR NAME:Anita Tristan
LICENSING EVALUATOR SIGNATURE:
DATE: 06/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/22/2023


LIC809 (FAS) - (06/04)
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