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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215667
Report Date: 08/05/2021
Date Signed: 08/05/2021 03:49:25 PM

Document Has Been Signed on 08/05/2021 03:49 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
566215667
ADMINISTRATOR:DULCE CONTRERASFACILITY TYPE:
850
ADDRESS:2003 YOSEMITE AVENUETELEPHONE:
(805) 520-5913
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY: 88TOTAL ENROLLED CHILDREN: 0CENSUS: 66DATE:
08/05/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Vanessa ManzoTIME COMPLETED:
01:15 PM
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On August 5, 2021 at 12:27 PM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Annual/Random inspection. LPA contacted the facility and conducted Covid-19 screening questions prior to entering the facility. LPA met with facility Business Manager/Interim Director Vanessa Manzo and advised her the purpose of the inspection. There was 66 children in care at the time of the inspection. This center operates from 6:30 AM - 6:30 PM, Monday - Friday. This is a combined center with an infant program.

LPA observed required licensing documents posted on the wall in the lobby of the facility. A snack/lunch schedule was observed. The facility provides lunch, morning and afternoon snack for children in care. The facility has three (3) classrooms available for care. Each classroom has a restroom with enough sinks and toilets readily accessible for children in care. LPA did not observe hazards/toxins accessible to children in care. LPA observed each classroom has an ample amount of age appropriate toys and furniture readily accessible to children in care. The facility provides children staying the whole day a mat for sleeping during quiet time if they choose to sleep. LPA observed where children's medication is properly secured. The playground has ample amount of shade. LPA observed the playground has age appropriate toys and structures readily accessible for children in care. The facility has water available inside and out. They have a water pitcher for children inside and out. Children have the option to have their own personal water bottle or have a clean paper cup provided for water.

Continued on 809-C
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2021
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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 566215667
VISIT DATE: 08/05/2021
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A sampling of children and staff records were reviewed. LPA observed children's files to be current and complete. LPA observed staff files to be current and complete. LPA verified SB792 Child Adult Immunization and Tuberculosis requirements. Teachers/Aides meet the required qualifications. Teachers/Aides present have a current Pediatric CPR/First-Aid certificate that expire on 2/11/2023. Teachers/Aides present have current Mandated Reporter certificates that expire on 6/8/2022. LPA spoke with Director about new Covid-19 requirements. The facility is following current Covid-19 requirements.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

No deficiencies cited during today's inspection.



NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021
LIC809 (FAS) - (06/04)
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