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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810200
Report Date: 01/23/2024
Date Signed: 01/23/2024 04:08:18 PM

Document Has Been Signed on 01/23/2024 04:08 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 EXPERIENCE, THEFACILITY NUMBER:
103810200
ADMINISTRATOR:BETH NELSONFACILITY TYPE:
850
ADDRESS:2106 SHAW AVETELEPHONE:
(908) 887-5162
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY: 120TOTAL ENROLLED CHILDREN: 124CENSUS: 56DATE:
01/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Beth Nelson TIME COMPLETED:
04:15 PM
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On 01/23/24, Licensing Program Analyst Denisia Jimenez met with Director, Beth Nelson for an unannounced case management inspection. LPA toured the classroom and took a census.

An Unusual Incident Report was submitted to the Fresno Community Licensing Office regarding an incident that occurred on 01/12/24, where a daycare child was left alone in the classroom for about 5 minutes. At the time of the incident there were 2 teachers and 20 day care children present in the classroom before walking out to the outside play area. Teacher #1 and teacher #2 had lined up the children inside the classroom by the front door before taking them outside and a head count was conducted. Teacher #1 was in the front of the line and teacher #2 was standing in the back on the side of the line and children and teachers walked out. Normally, once the children are outside of the classroom, the children are instructed to stand on the wall outside of the classroom and another head count is conducted. Unfortunately, this was not done and child #1 was left behind in the classroom. While teacher #1 was outside taking pictures of the children teacher #1 noticed child #1 missing and immediately informed teacher #2. The incident was observed by teacher #3 who had taken her classroom outside to the play area as well and happened to go back inside to get her clipboard. As teacher #3 was walking back outside to the play area she heard someone crying and walked into the classroom where the cries were coming from and saw child #1 standing alone in the classroom crying. Teacher #3 was walking outside with child #1 when teacher #2 was coming back to the classroom to look for child #1. Teacher #1 reported the incident to the Director who self reported the incident. LPA interviewed Director and staff present when the incident took place and determined that the child was left unsupervised for approximately 5 minutes. LPA spoke to the Director and reminded them to have visual supervision of children at all times whether they are outside or inside the classroom. The Director indicated that she immediately reached out to all staff and provided supervision training and reminded all staff of the importance of child supervision, keeping count of children at all times, and communicating with other teachers present when taking children outdoors. The Director also stated she will be conducting another training on 01/27/24. Although there was no immediate threat to child #1, it did pose a potential health, safety or personal rights risk to persons in care.

(Continued on 809-C)

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 103810200
VISIT DATE: 01/23/2024
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LPA will issue a Type B citation.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiency Type B is being
cited (see 809-D)

Exit interview conducted report and appeal rights was reviewed with the facility Director Beth Nelson. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/23/2024 04:08 PM - It Cannot Be Edited


Created By: Denisia Jimenez On 01/23/2024 at 03:34 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 EXPERIENCE, THE
FACILITY NUMBER: 103810200

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/23/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Director stated she will be having a training on active supervision and classroom transitions on 01/27/24 and Director will submit to LPA proof of training by
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This requirement is not met as evidenced by:Based on interview, the
licensee did not comply with the section cited above.
During today's inspection LPA gathered information that staff left a child unattented for 5 minutes which poses a potential health, safety or personal rights risk to persons 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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/23/2024


LIC809 (FAS) - (06/04)
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