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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842315
Report Date: 04/20/2022
Date Signed: 04/20/2022 03:21:42 PM

Document Has Been Signed on 04/20/2022 03:21 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
334842315
ADMINISTRATOR:MICHELLE SOLORIOFACILITY TYPE:
850
ADDRESS:12754 LIMONITE AVENUETELEPHONE:
(951) 817-8817
CITY:EASTVALESTATE: CAZIP CODE:
92880
CAPACITY: 193TOTAL ENROLLED CHILDREN: 193CENSUS: 146DATE:
04/20/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:04 AM
MET WITH:Dalanda Ridgeway, Assistant DirectorTIME COMPLETED:
03:30 PM
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Licensing Program Analysts (LPAs) Karrene Phillips and Blanca Ruiz arrived at the facility to conduct a case management inspection in response to the receipt of an unusual incident report (UIR) on 03/17/2022. The UIR indicated Child #1 (C1) was found on the playground alone and uninjured by Staff #2 (S2). The facility was toured and a census was taken. LPAs met with Assistant Director, Dalana Ridgeway, to discuss the reason for the visit.

Facility records were reviewed and follow-up interviews with pertinent parties were conducted to obtain additional information. All pertinent interviews determined there was conflicting information obtained regarding if the child was ever left unsupervised on the playground. Based on the information gathered, the facility acted appropriately, and no violations have been identified. Staff at the facility completed an in-service training on Name to Face and STAR system on 03/22/2022.

An exit interview was conducted, and a copy of this report was provided to the Owner, Robb Kirschenmann. A Notice of Site Visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2022
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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