073408263-5-23-2023-02-CC-LDYN-CSY5U8-20230619201532

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408263
Report Date: 05/23/2023
Date Signed: 05/23/2023 05:02:52 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/07/2023 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20230407141916

FACILITY NAME:	LEARNING EXPERIENCE, THE		FACILITY NUMBER:	073408263
ADMINISTRATOR:	KAMAL, FAUZIA		FACILITY TYPE:	850
ADDRESS:	4831 LONE TREE WAY		TELEPHONE:	(925) 281-7640
CITY:	ANTIOCH	STATE: CA	ZIP CODE:	94531
CAPACITY:	130	CENSUS: 58	DATE:	05/23/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	FAUZIA KAMAL/RAJYA PONNALURI		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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9

RATIO-Staff are operating out of ratio

INVESTIGATION FINDINGS:

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Licensing Program Analyst Alexander met with center director Fauzia Kamal and center owner Rajya Ponnaluri to deliver the findings to the above complaint allegations for Licensing Program Analyst Ashley Curry. Today there are 58 children present along with 9 staff.

LPA A. Curry previously toured the facility, made observations, conducted interviews, and obtained relevant documentation. The allegation is staff are operating out of ratio. Based on interviews and record review, it could not be determined that the facility operated out of ratio. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. This allegation is Unsubstantiated.”

An Exit interview was conducted
A notice of cite visit was posted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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