<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 485407833
Report Date: 05/20/2022
Date Signed: 05/20/2022 03:38:45 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/23/2022 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20220223082652
FACILITY NAME:LEARNING EXPERIENCE-PRESCHOOL, THEFACILITY NUMBER:
485407833
ADMINISTRATOR:OLDANI, SABRINAFACILITY TYPE:
850
ADDRESS:1959 PEABODY ROADTELEPHONE:
(707) 305-4336
CITY:VACAVILLESTATE: CAZIP CODE:
95688
CAPACITY:120CENSUS: 64DATE:
05/20/2022
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Jennifer Hansen -Center DirectorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Parents were not informed of covid positive case(s) in the facility
Facility is operating out of ratio
A child was left unattended on the playground
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Melchisedeck Augustin conducted an unannounced subsequent complaint-Investigation visit and met with Center Director, Jennifer Hansen (CD) to deliver the findings regarding the above allegations. LPA, Yang previously met with Licensee (LS), Jiayuan Luo on 03/02/22 to initiate the investigation by discussing the purpose of the visit, requesting personnel records, Parent Handbook, and a facility roster of the children currently in care. It was alleged that parents were not informed of COVID positive case(s) in the facility, the facility is operating out ratio, and a child was left unattended on the playground. The report alleged 18 positive COVID cases were identified and one Teacher was left alone to provide care and supervision for 19 children.

LPA Augustin interviewed LS, five staff (S1-S5), two adults (A1 & A2), and two parents (P1 & P2) from 03/21/22 through 05/05/22. LS’s statement corroborated the allegations and confirmed the facility experienced an outbreak of multiple positive COVID-19 cases which started in early January 2022 through February 2022. During the outbreak, the facility’s management was delayed in providing notification to parents in which LS estimated it took between one to three days to notify parents of the potential health and safety risk. (Continue to LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
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 6
Control Number 13-CC-20220223082652
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: LEARNING EXPERIENCE-PRESCHOOL, THE
FACILITY NUMBER: 485407833
VISIT DATE: 05/20/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LS admitted that on at least one occasion in February 2022, a Teacher was left alone to supervise more than 12 children in Preschool 2 class which resulted in the classroom operating out of ratio. In addition, on either the morning of 02/11/22 or 02/18/22, child (C1) was left unattended in the middle outdoor yard area for one to two minutes.

Interviews provided by staff, adults, and parent corroborated that the facility did not notify parents of all positive COVID cases between the end of December 2021 through mid-January 2022, and S1, S2, S3, S4, A1, A2, P1 and P2 reported on several occasions, they witnessed between 13 to 25 children in care with only one staff in either the Toddler and/or Preschool classrooms. Furthermore, multiple statements respectively confirmed C1 was left unattended on the playground for up to five minutes, resulting in a lack of supervision. C1 was unaccounted for until another staff alerted the classroom about C1 being left unattended and at which time, LS escorted C1 back to the classroom.

Based on the investigation, there’s a preponderance of evidence to show the facility did not comply with reporting requirements of California Code of Regulations (CCR) 101212(f), Teacher-Child ratio of CCR 101216.3(a), and responsibility for providing care and supervision of CCR 101229(a)(1). Section, 101229(a)(1) was previously cited within a 12-month period, therefore, a civil penalty of $250 is being assessed for a repeat Civil Penalty which resulted in lack of supervision. Exit interview conducted and report was reviewed with the Center Director, Jennifer Hansen. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. The following California Code of Regulations, Title 22, Division 12, Chapter 1, Article 6 violations were cited on the following LIC 9099D. Appeal Rights were provided.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 13-CC-20220223082652
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LEARNING EXPERIENCE-PRESCHOOL, THE
FACILITY NUMBER: 485407833
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/03/2022
Section Cited
CCR
101212(f)
1
2
3
4
5
6
7
The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

This requirement was not met as evidenced by: Based on interviews provided by staff, adults, and parent which corroborated that the facility
1
2
3
4
5
6
7
Center Director stated she and the Licensee would read on CCR 101212 and would report all unusual incidents and the Director intends to hold an all staff meeting to review the content of CCR 101212 and would submit the attendance sheet with the siganture of staff that attended to the Department by 06/03/22 via
8
9
10
11
12
13
14
did not notify parents of all positive COVID cases between the end of December 2021 through mid-January 2021 which poses/posed a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
mail, email or fax.

Email: melchisedeck.augustin@dss.ca.gov
Fax: 707-588-5099
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 13-CC-20220223082652
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LEARNING EXPERIENCE-PRESCHOOL, THE
FACILITY NUMBER: 485407833
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/27/2022
Section Cited
CCR
101229(a)(1)
1
2
3
4
5
6
7
No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

This requirement was not met as evidenced by: Based on multiple statements confirming C1
1
2
3
4
5
6
7
The Director stated she held a prior meeting where management reminded staff to conduct head counts of the children and to check the surrounding areas such as the bathroom, and the Center Director intends to hold another staff meeting and would submit a written statement indicating the topic/agenda of the meeting, as well as staff attendance sheet with staff full signatures.
8
9
10
11
12
13
14
was left unattended on the playground for up to five minutes, resulting in a lack of supervision which poses/posed a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
Center Director stated she would submit her POC to the Department by 06/03/22 via mail, email or fax.

Email: melchisedeck.augustin@dss.ca.gov
Fax: 707-588-5099
Type B
06/03/2022
Section Cited
CCR
101216.3(a)
1
2
3
4
5
6
7
There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

This requirement was not met as evidencedy by: Based on interviews with S1, S2, S3, S4, A1, A2, P1 and P2 which reported on several occasions, they witnessed between 13 to 25
1
2
3
4
5
6
7
Center Director stated she intends to submit 10 days worth of completed schedule logs to show evidence of the classroom maintaining ratio requirements and the documents would be submitted to the Department by 06/03/22 via mail, email or fax. The Department shall also
8
9
10
11
12
13
14
children in care with only one staff in either the Toddler and/or Preschool classrooms. This poses/posed a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
conduct unannounced visit(s) to verify the classroom(s) ratio.

Email: melchisedeck.augustin@dss.ca.gov
Fax: 707-588-5099

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/23/2022 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20220223082652

FACILITY NAME:LEARNING EXPERIENCE-PRESCHOOL, THEFACILITY NUMBER:
485407833
ADMINISTRATOR:OLDANI, SABRINAFACILITY TYPE:
850
ADDRESS:1959 PEABODY ROADTELEPHONE:
(707) 305-4336
CITY:VACAVILLESTATE: CAZIP CODE:
95688
CAPACITY:105CENSUS: 64DATE:
05/20/2022
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Jennifer Hansen - Center Director TIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is discriminating against children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Melchisedeck Augustin conducted an unannounced subsequent complaint-Investigation visit and met with Center Director, Jennifer Hansen (CD) to deliver the finding regarding the above allegation. LPA, Yang previously met with LS on 03/02/22 to initiate the investigation by discussing the purpose of the visit, requesting personnel records, Parent Handbook, and a facility roster of the children currently in care. It was alleged that the facility is discriminating against children. The report alleged that the facility declined to enroll children with special needs and the contract of several children of African American descent were terminated due to their race.

LPA Augustin interviewed LS, LS2, five staff (S1-S5), two adults (A1 & A2), and two parents (P1 & P2) from 03/21/22 through 05/12/22. LS and LS2 denied the claims that the facility was discriminating against children on the basis of race, skin color or disability and the Licensee felt the facility was being falsely accused of the allegation. LS claimed several children’s contracts had been terminated as a last resort because of behavior concerns which either posed an immediate or potential risk to other children and staff, while LS2 reported the facility could not accommodate some children. (Continue to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 13-CC-20220223082652
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: LEARNING EXPERIENCE-PRESCHOOL, THE
FACILITY NUMBER: 485407833
VISIT DATE: 05/20/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
As a result, some prospective enrollees were not enrolled into care because the child(ren)’s need(s) exceeded the level of care the facility was able provide.

Statements provided by staff, adult and parents did not provide any evidence to suggest staff acted with indifference, bias or used ethnic slur(s) against children of minority background, however; several statements reported the facility management tended more to children of Caucasian or Asian descent and appeared to have less patience with children with disabilities or with African American which resulted in a higher disenrollment rate of children who were not Caucasian. During LPA’s unannounced visit on 03/21/22, LPA observed LS, LS2 and staff diligently working and interacting with children of different ethnic backgrounds, the children appeared to be well, and LPA did not see any staff refuse to work with children or acted in any manner in which a reasonable person may perceive as indifference or bias.

Based on this investigation, there is not a preponderance of evidence to prove the facility did not comply with requirements of personal rights or California Code of Regulations, 101223; and therefore, this allegation is unsubstantiated. Exit interview conducted and report was reviewed with the Center Director, Jennifer Hansen. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. There were no Title 22, Division 12, Chapter 1, Article 6 deficiency cited during the visit. Appeal Rights were provided.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 6