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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810201
Report Date: 01/28/2025
Date Signed: 01/28/2025 05:31:29 PM

Document Has Been Signed on 01/28/2025 05:31 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:
103810201
ADMINISTRATOR/
DIRECTOR:		BETH NELSONFACILITY TYPE:
830
ADDRESS:2106 SHAW AVETELEPHONE:
(908) 887-5162
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY: 43TOTAL ENROLLED CHILDREN: 41CENSUS: 32DATE:
01/28/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:25 PM
MET WITH:Brisa HernandezTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On January 28, 2025, Licensing Program Analyst Miguel Herrera conducted an unannounced Case Management Inspection. LPA met with Curriculum Specialist, Brisa Hernandez. LPA toured the facility, and a census was taken. The purpose of today's inspection was regarding an Unusual Incident that was self-reported by the facility to the Fresno Childcare Regional Office, the incident occurred on 01/08/2025, the incident was regarding a violation of a child’s personal rights.

During today’s visit LPA Herrera conducted facility observations and interviewed staff to gather further information pertinent to the incident. Through interviews conducted and documentation reviewed, it was confirmed that staff #1 inappropriately disciplined child #1 by tapping their forehead with a sensory toy. Per interviews, child #1 was observed hitting another child with a sensory toy and staff #1 grabbed the toy and stated, “we don’t hit our friends” and proceeded to tap child #1 in the forehead. Through interviews it was disclosed that child #1 did not sustain any injuries and was immediately comforted. Although staff #1 inappropriately disciplined child #1 it was revealed through interviews that it was not with ill intent and did not cause any visible injuries to child #1.

Through interviews and records review, it was determined that it was an isolated incident. Although the facility followed appropriate reporting requirements and took appropriate measures to address the incident, staff #1’s actions violated child #1’s personal rights and posed a potential risk to children in care (see LIC 809-D Type B deficiency).

Exit interview conducted and report was reviewed with Curriculum Specialist Brisa Hernandez. Appeal rights were provided. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, one deficiency was cited during today’s inspection (see LIC 809-D). This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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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Document Has Been Signed on 01/28/2025 05:31 PM - It Cannot Be Edited


Created By: Miguel Herrera On 01/28/2025 at 05:10 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: 103810201

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/29/2025
Section Cited
CCR
101223(a)(1)

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101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights:
(1) To be accorded dignity in his/her personal relationships with staff and other persons.
This requirement was not met as evidenced by:
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On 01/25/2025, the facility conducted a training with facility staff regarding "Children's Personal Rights" and will provide a sign in list of all staff who attended the training. Furthermore, the facility will provide a statement as how
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Based on interviews and documents reviewed as noted on LIC809, Staff #1 innapropiately disciplined child #1 by tapping their forehead with a sensory toy.
This posed a potential risk to the health, safety, or personal rights to children in care.
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they will implement the training during new hire onboarding and monthly staff meetings.

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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:Miguel Herrera
LICENSING EVALUATOR SIGNATURE:
DATE: 01/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/28/2025


LIC809 (FAS) - (06/04)
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