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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103810201
Report Date: 09/16/2025
Date Signed: 09/16/2025 02:27:30 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/26/2025 and conducted by Evaluator Miguel Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20250826141453
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:43CENSUS: 31DATE:
09/16/2025
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Tribecca VillagomezTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Staff failed to provide adequate supervision, resulting in unexplained injuries to child.
Staff failed to report child's injury(ies).
INVESTIGATION FINDINGS:
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On September 16, 2025, Licensing Program Analysts (LPA) Miguel Herrera conducted an unannounced inspection to conclude the complaint investigation that was submitted on 08/26/2025. LPA met with Director, Tribecca Villagomez, and explained the purpose of the inspection and delivered investigation findings. A tour of the facility was conducted, and a census was taken. During the course of the investigation, LPA Herrera obtained and reviewed records, conducted interviews, and made facility observations.

Evidence obtained revealed that child #1 sustained an injury that required medical attention. However, based on interviews and pertinent records obtained LPA Herrera was unable to establish where or when the injury occurred. Due to insufficient information, LPA Herrera could not determine if the injury resulted from a lack of supervision while at the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

To be continued on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 04-CC-20250826141453
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 103810201
VISIT DATE: 09/16/2025
NARRATIVE
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Regarding the allegation that staff failed to report child #1’s injury was found to be unsubstantiated. Although records indicate that the facility made an initial attempt to report the injury, the facility did not follow up to ensure the voicemail had been received. Furthermore, the facility completed an incident report that was mailed to the wrong address. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiency is being cited.


Exit interview conducted and report was reviewed with Director, Tribecca Villagomez and appeal rights were provided.

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.

End of Report.

SUPERVISORS NAME: Jose Penate
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2