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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810201
Report Date: 11/01/2022
Date Signed: 11/01/2022 11:34:56 AM

Document Has Been Signed on 11/01/2022 11:34 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
103810201
ADMINISTRATOR:LADDHA, PARAGFACILITY TYPE:
830
ADDRESS:2106 SHAW AVETELEPHONE:
(908) 887-5162
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 0DATE:
11/01/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Angelica Arroyo - DirectorTIME COMPLETED:
11:30 AM
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On November 1, 2022, Licensing Program Analysts (LPAs) Joseph Pacheco and Cynthia Brannon conducted an announced prelicensing inspection and met with Director, Angelica Arroyo. LPAs explained the reason of the inspection and a tour of the center was conducted both inside and outside. This is a new facility and the applicant is requesting an infant license for 20 infants, ages 0-2 years old. Facility will be caring for 8 crib intants and 12 non-crib infants. This program will operate year round Monday – Friday, 6:30am – 6:30pm. This program will operate in the Infant Classroom and Toddler Classroom. Licensee is Clovis Learning, LLC. Parents will sign their children in and out at the front desk and then escort them to their classroom. Staff conduct daily health checks and conduct a risk assessment. Director stated that it is optional for staff and children to use masks while indoors. LPAs reminded Director that the Public Health Department and CDC strongly recommends for staff and children to wear face masks.
Director stated that the center will provide breakfast, lunch and PM snack. The meals are prepared onsite. Parents will provide infant formula and diapers. Ill children will be isolated in an area adjacent to the receptionist desk and utilize the adult bathroom in the hallway.
The classrooms were observed to be clean and free of toxins. LPAs observed that the furniture and equipment appeared to be safe and in good condition. There are enough tables, chairs, cots, cribs and plenty of toys for children to play. Director stated that parents will provide sheets for their child’s crib or cot for napping. LPAs observed that each changing table is within arms reach of a sink. LPAs also reminded Director not to store anything on top of high bookcases/storage cabinets that could potentially fall on children. There is a working carbon monoxide detector that is part of the facility’s smoke detector system and is installed throughout the building.
LPA reviewed with Director, that any future changes to the classrooms are required to ensure that furniture does not tip over on to children, the furniture are to be anchored or situated that tipping does not occur. Classroom changes of furniture shall be situated that 100% visual supervision is always provided to children in care. Director is aware the ratio is 1 Teacher to 4 infants and will follow the regulations. Construction of the facility was completed in 2022 and is not subject at this time to lead testing for drinking and cooking water.
CONTINUED ON 809-C
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2022
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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 103810201
VISIT DATE: 11/01/2022
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Room measurements were taken and reviewed with Director. The total inside infant area measured to an approximate 704 square feet which will accommodate the requested capacity of 20 infants. Director understands that children's equipment needs to match the licensed capacity. Toys and equipment appear to be age appropriate.
Licensee is doing the following to provide accessible drinking water to children in care: Licensee is having drinking water provided by a third party water vendor service. Children will bring their own sippy cups. Staff will fill pitchers up with water and bring them outside so children can refill their cups during outside play.
The approximate outside square footage for the infant area is 1962 which will accommodate requested capacity of 20 Infant Children.
LPA observed age appropriate toys and play equipment. High climbing play equipment with adequate cushioning was observed. The outdoor play structure includes a shade component. Additional shade is provided by a covered patio. LPAs observed a tube slide on the play structure. Director stated that a staff member will be at the top of the play structure and a second staff will be on the ground near the bottom of the slide so adequate supervision can be maintained. LPA reminded Director to provide adequate supervision at all times.
A fire clearance for 35 infant children was approved and granted by the City of Clovis Fire Department on August 1, 2022. The clearance was received by the Fresno Regional Office on August 30, 2022. Licensee is requesting a new capacity of 20 infant children so a new fire inspection has been requested.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm The medication for the children will be kept in the classroom in an inaccessible locked cabinet.

Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
CONTINUED ON 809-C
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 103810201
VISIT DATE: 11/01/2022
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LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.
LPA also informed Director, of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Pending a final file review a recommendation will be made to license the above facility for the requested capacity of 20 infant children.

The following documents should be posted at the facility:
* PUB 269- Child passenger restraint systems poster 101225(f) Transportation
* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)
* Activity Schedule
* Lead Poisoning brochure

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.
Exit interview conducted and report was reviewed with Director, Angelica Arroyo. A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
LIC809 (FAS) - (06/04)
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