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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 05:41:46 PM

Document Has Been Signed on 03/15/2024 05:41 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:
04:00 PM
MET WITH:Beth NelsonTIME COMPLETED:
05:50 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 an Unusual Incident that occurred on 02/12/2024.

According to staff child #1 got a small ball (crafting ball) from the sensory table lodged in his nose. Staff immediately removed the balls from the sensory table. Per Director Nelson, children are under supervision while using the sensory table and are only allowed to use the sensory table with direct supervision from a staff member. Director Nelson stated that items in the sensory table are age appropriate to each class.



During the facility tour LPAs observed the sensory table to be closed with a lid. Upon inspecting the sensory table LPAs did not see any items that posed a risk to children in care. This appears to be an isolated incident and staff took appropriate measures to address the incident. Per Director Beth Nelson, she will incorporate items that do not pose a risk to a child into the sensory table. Director Nelson stated that she reminded staff to supervise children while using the sensory table.

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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