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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810201
Report Date: 01/04/2024
Date Signed: 01/22/2024 04:32:49 PM

Document Has Been Signed on 01/22/2024 04:32 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:
103810201
ADMINISTRATOR:BETH NELSONFACILITY TYPE:
830
ADDRESS:2106 SHAW AVETELEPHONE:
(908) 887-5162
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY: 43TOTAL ENROLLED CHILDREN: 43CENSUS: 35DATE:
01/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Beth NelsonTIME COMPLETED:
01:45 PM
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On 01/04/2024, Licensing Program Analyst Denisia Jimenez met with Director, Beth Nelson for an unannounced case management inspection. LPA toured the facility, and a census was taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 12/15/23, where infant #1 was crawling outside with no socks or shoes on for approximately 10 minutes on the playground. The Director immediately spoke with her staff and re-trained staff that all children need to have their shoes and socks on before going out to the playground. The director stated a weekly bulletin is sent out to the staff where it addresses shoes. The director also stated the facility will be having an all staff meeting to address the incident and make sure this does not happen again.

Based on the information obtained, this appears to be an isolated incident and the Director took appropriate measures to address the incident and followed appropriate reporting requirements.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted with 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: 01/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/04/2024
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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