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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 485407834
Report Date: 11/08/2023
Date Signed: 11/08/2023 01:34:24 PM

Document Has Been Signed on 11/08/2023 01:34 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-INFANT, THEFACILITY NUMBER:
485407834
ADMINISTRATOR:BIANE ISBEIHFACILITY TYPE:
830
ADDRESS:1959 PEABODY ROADTELEPHONE:
(707) 305-4336
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY: 34TOTAL ENROLLED CHILDREN: 28CENSUS: 18DATE:
11/08/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Biane Isbieh - Center DirectorTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA), Melchisedeck Augustin made an unannounced Legal/Non-compliance Case Management and met with Center Director (CD), Biane Isbeih, to ensure compliance with the terms set during a prior Non-Compliance Conference (NCC) on 07/21/23. 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 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: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2023
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-INFANT, THE
FACILITY NUMBER: 485407834
VISIT DATE: 11/08/2023
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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 was operating within the ratio and capacity requirements. The cameras in the interior hallway, classrooms and perimeter were in working order, however; CD was uncertain if all the cameras were equipped with motion detection capabilities. Most of the doors exiting the building had audible egress devices to help prevent child elopement, however; one door did not contain an audible alarm device. CD agreed to install an audible alarm device, and CD intends to submit evidence to the Department in a timely manner.

CD stated the facility recently held an all staff meeting to discuss topics related to supervision, reporting requirements, and staffing ratio. CD said if there was an incident or a child was involved in an incident, the facility would produce a written incident report that would be provided to parent(s) at the time of pickup, and for incident(s) involving children sustaining injuries near the head, the facility management would notify parent(s) via telephone and provide parent(s) with an incident report. CD noted the facility incident report contained a section which allowed staff to document the details of parent(s) notification.

The facility no longer screened for COVID, however; any child(ren) with a fever of 100.4 degrees Fahrenheit, had at least two bowel movements or had two episodes of vomiting, that child 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. The facility policy indicates that a child with the symptoms described 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 time.

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. (Continue to LIC 809-C)

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023
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-INFANT, THE
FACILITY NUMBER: 485407834
VISIT DATE: 11/08/2023
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CD explained that facility management instructed staff to notify her if they needed additional support in the classroom, and for case where a class might potentially be out of ratio, staff would request for parent(s) to wait with their child until an additional staff arrived for support. Staff constantly checked the bathrooms before leaving the classroom and transitioning to a different area, and to prevent incident of lack of or absence of supervision, staff shut the door during a period of transitioning, so children did not enter the bathroom(s).

Furthermore, when a child was in the bathroom, teachers placed a chair outside the bathroom to ensure supervision of the children in the bathroom; and if staff needed additional support, they would request assistance from CD. CD reviewed and completed staff schedules monthly to ensure compliance with ratio requirements, and in situations involving staffing shortage; the facility would not accept and limit the number of children in care for the day to prevent violation of the ratio. 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. CD stated at this time, there were five 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.

CD submitted a copy of 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. The facility's Emergency Procedures is missing procedure for child elopement, and LPA reviewed lock down drill with CD; and made suggestions for improvement or added security of the plan. CD submitted an updated addendum to LPA, prior to LPA's departure. On October 2022, the facility received training from TSP analysts and the discussed topics related to reporting, supervision; and ratio requirements. 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: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023
LIC809 (FAS) - (06/04)
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