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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810200
Report Date: 03/15/2024
Date Signed: 03/15/2024 05:28:10 PM

Document Has Been Signed on 03/15/2024 05:28 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 RO, 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: 73CENSUS: 58DATE:
03/15/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Beth NelsonTIME COMPLETED:
04:00 PM
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On 03/15/2024 Licensing Program Analysts (LPAs) Miguel Herrera, and Elizabeth Torres conducted an unannounced Case Management inspection. Today, LPAs met with Director Beth Nelson and toured the facility, and a census was taken. The reason of this inspection is to discuss two separate Unusual Incidents that occurred on 01/24/2024 and 02/23/2024.

According to records review the facility provided notice to child #1’s parent regarding the injury that occurred while staff #1 was holding the child’s hand. Staff indicated that while redirecting the child, the child pulled away from staff. While attempting to let go of the child’s hand, the child pulled back towards the ground. Staff #1 attempted to slow the fall so she wouldn’t hit her head, but the child threw herself to the grown and injured her arm instead.



According to interview obtained, staff indicated that child #2 was seen cradling her arm during circle time. Staff asked the child what was wrong, and the child pointed to her arm and asked for help. The child did not disclose to staff what happened to her arm, and staff did not observe any accidents, injuries or falls. Parent stated that child #2 had history with dislocating her.

This appears to be isolated incidents and staff took appropriate measures to address both incidents. Per Director Beth, staff are aware to use other methods other than holding hands when leading/redirecting a child.

Per the California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency has been cited during today’s inspection. Director Beth Nelson was provided a copy of appeal rights. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director Beth Nelson.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2024
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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