485407833-3-8-2024-01-CC-MAUN-D36SSD-20240308130747

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 485407833
Report Date: 03/08/2024
Date Signed: 03/08/2024 01:07:54 PM

Document Has Been Signed on 03/08/2024 01:07 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME:	LEARNING EXPERIENCE VACAVILLE-P/S, THE		FACILITY NUMBER:	485407833
ADMINISTRATOR:	BIANE ISBEIH		FACILITY TYPE:	850
ADDRESS:	1959 PEABODY ROAD		TELEPHONE:	(707) 305-4336
CITY:	VACAVILLE	STATE: CA	ZIP CODE:	95687
CAPACITY: 135	TOTAL ENROLLED CHILDREN: 87	CENSUS: 53	DATE:	03/08/2024
TYPE OF VISIT:	Case Management - Legal/Non-compliance	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Biane Isbeih - Center Director		TIME COMPLETED:	11:00 AM

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Licensing Program Analyst (LPA), Melchisedeck Augustin made an unannounced Legal/Non-compliance Case Management visit and met with Center Director (CD), Biane Isbeih, to ensure compliance with the terms set during a prior Non-Compliance Conference (NCC) on 07/21/22. At the time of the NCC, the Licensee agreed to adhere to the following terms to bring the facility into compliance:

Conduct detailed 1:1 staff training, including topics related to supervision, Community Care Licensing Division (CCLD) reporting requirements, and staffing ratio requirement, management oversight; provide increased classroom support by hiring additional qualified staff; staff to conduct a minimum of three name/number to face counts of each child during classroom transition; increase communication among staff; double checking bathroom(s); provide assistance for Aides to achieve qualification; maintain reserve staff in case of staffing shortage; and ensure parent(s) are notified of unusual incident report(s).

The facility will maintain cameras in the interior hallway, classrooms and perimeter that have motion detection and audible alarms devices on doors exiting the facility to help prevent child elopement.

Licensee continues to screen daily for COVID-19 and parents are notified of COVID exposure or potential health and safety risk(s) by phone application and posting notices on entrance door.

Licensee agreed to produce and submit the facility’s policy/procedure for classroom transition, child elopement, emergency disaster drill which consist of active shooter, lock down, fire drill, flood and earthquake.

(Continue to LIC 809-C)

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 VACAVILLE-P/S, THE	FACILITY NUMBER: 485407833
	VISIT DATE: 03/08/2024

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The Department recommended and the facility voluntarily accepted the services of CCL’s Technical Support Program (TSP), a non-enforcement program that provides consultation, training, and other resources to assist facility in regulatory compliance.

During today's visit, the facility was operating within the ratio and capacity requirements. The cameras in the interior hallway, classrooms and perimeter were in working order, and two additional audible alarms were installed on the doors that exit the building. The cameras were not equipped with motion detection capabilities, however; two alarms did ping to systems which notified staff in the lobby and office. The doors exiting the building had audible egress devices to help prevent child elopement.

CD stated the facility recently held an all staff meeting on 02/19/24 to discuss topics related to supervision, reporting requirements, and staffing ratio. CD noted an upcoming change in the way management would meet with staff and starting on 03/11/24, facility management intends to meet with individual staff in the office to train and hold discussion(s). CD said if there was an incident or a child was involved in an incident, staff would notify parent(s) via text and the facility would produce a written incident report that would be provided to parent(s) at the time of pickup. CD noted the facility incident report contained a section which allowed staff to document the details of parent(s) notification. For incident(s) involving children sustaining injuries that are shoulder and up (broken arm(s)/leg(s), bumped head, and/or injury to eyes), staff are to monitor the children and immediately notify CD which would complete and submit an Unusual Incident Report to Community Care Licensing Division (CCLD).

The facility no longer screened for COVID and CD confirmed there was no change to the facility’s illness policy. Any child(ren) with a fever of 100.4 degrees Fahrenheit or had at least two bowel loose movements or had two episodes of vomiting, would be sent home. CD claimed the facility took a child’s temperature a total of three times to ensure accuracy prior to sending a child home. A child(ren) with the symptoms described above would be allowed to return after 24 hours after symptoms have subsided without the use of fever reducing medication or if the parent provided a medical doctor's note to clear the child for return. If the facility identified a positive COVID case or an outbreak of communicable disease, the facility would send an announcement to notify parents via an online application, post written notification on the classroom door(s), as well as provided verbal notification at the time of drop off/pick times. (Continue to LIC 809-C)

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 VACAVILLE-P/S, THE	FACILITY NUMBER: 485407833
	VISIT DATE: 03/08/2024

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According to CD, she frequently steps in the classroom(s) to provide coverage when needed and she was heavily involved in the oversight of staff and involved in the care of the children.

CD checked with classroom staff via telephone to request a count of the children. CD explained she ensured there was always a qualified staff that carried the facility phone in the lobby/reception area and in CD’s absence, that staff would provide additional support to the classroom(s). CD instructed staff to notify her if they needed additional support in the classroom. If a classroom reached its ratio limit(s) and a child were to arrive while a classroom had reached it limit, CD would redirect the child to a different classroom. CD felt the facility was adequately staff and the facility currently had six floaters to provide the classroom(s) with additional support. The facility tried to only hire qualified staff and encouraged the existing staff to complete their core Early Childhood Education (ECE) units to become fully qualified, and the facility recently hired a new Cook and a fully qualified teacher. When a child was using the bathroom, staff lingered and remained near the bathroom door, and if a child needed assistance while in the bathroom, staff were to notify CD which would tend to that child’s needs.

CD continued to remind staff to conduct face to name count of the children and staff were not supposed to be seated and should be scanning and walking, staff should be facing the child(ren); and a teacher’s back should not be to the children. CD conveyed she tried to go to each individual classroom to conduct a head count which is documented on iPad. CD stated at this time, there were four staff in the process of completing their core ECE units. CD felt that communication among staff improved and CD acknowledged staff accomplishments, made personal connections with each staff, listened to staff and their suggestions, while also setting expectation standards.

The is no change to the facility's Emergency Procedures which includes procedures for Fire Monitoring Systems and Alarms, Emergency Drills, Emergency Evacuation including name to face, Lock downs, Emergency Weather & Evacuations, Earthquakes, Wildfires & Smoke, Facility closures or Delayed openings, and Changing Voicemail in Emergency Weather situations. CD drafted an addendum to the Emergency Procedures which includes Child Elopement, and a copy of the addendum was provided to LPA. (Continue to LIC 809-C)

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 VACAVILLE-P/S, THE	FACILITY NUMBER: 485407833
	VISIT DATE: 03/08/2024

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The facility completed all training with CCLD’s Technical Support Program (TSP) and there were no training that were pending. Based on today's visit, the facility appeared to be complying with the terms of the NCC.

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 violation(s) of the California Code of Regulations, Title 22; Division 12, cited during today's visit.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024

LIC809 (FAS) - (06/04)

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