073408263-7-23-2024-02-CC-MMAR-D8HQSJ-20240826122537

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408263
Report Date: 07/23/2024
Date Signed: 07/23/2024 05:04:25 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
05/30/2024 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20240530151928

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: 70	DATE:	07/23/2024
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	NICOLE NEELY		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

PERSONAL RIGHTS- Child sustained unexplained injury while in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On July 23, 2024, Licensing Program Analyst met with center director Nicole Neely for a follow up visit to deliver the findings to the above complaint allegation.

Today, upon arrival, there are 70 preschool age children present along with 9 preschool staff. On this analyst's last, an interview was conducted with Ms. Neely, records were reviewed and classrooms were toured. Today interviews were continued.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted with center director, Nicole Neely

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024

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

LIC9099 (FAS) - (06/04)

Page: 1 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
05/30/2024 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20240530151928

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: 70	DATE:	07/23/2024
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	NICOLE NEELY		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

PERSONAL RIGHTS- Staff handled child in care in a rough manner

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024

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

LIC9099 (FAS) - (06/04)

Page: 2 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
05/30/2024 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20240530151928

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: 70	DATE:	07/23/2024
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	NICOLE NEELY		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

PERSONAL RIGHTS-Staff left child in care in soiled clothing

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024

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

LIC9099 (FAS) - (06/04)

Page: 3 of 5