566215667-4-20-2023-17-CC-SMAZ-CR43U5-20230420183257

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215667
Report Date: 04/20/2023
Date Signed: 04/20/2023 06:33:04 PM

Document Has Been Signed on 04/20/2023 06:33 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, THE		FACILITY NUMBER:	566215667
ADMINISTRATOR:	DULCE CONTRERAS		FACILITY TYPE:	850
ADDRESS:	2003 YOSEMITE AVENUE		TELEPHONE:	(805) 520-5913
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93063
CAPACITY: 106	TOTAL ENROLLED CHILDREN: 106	CENSUS: 105	DATE:	04/20/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Samantha Croce		TIME COMPLETED:	02:30 PM

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	On April 20, 2023 Licensing Program Analyst's (LPAs) Susana Martinez and Giovani Gonzalez conducted an unannounced required 1 Year inspection. LPA's met with site director Samantha Croce and advised her of the purpose of the inspection. Together with the director, LPA's toured the facility inside and outside. At the time of inspection there were 105 children and 13 adults present. LPA's did not observe any bodies of water at the time of inspection. The facility currently uses 6 rooms for preschool: 106,127, 110, 113, and 108. Room 117 was observed to be under construction. LPA asked director Samantha if she received approval from the Department to conduct construction, Samantha states she called it in to the officer on duty. The restrooms were observed to be in working condition. The outdoor play yards were observed to have ample amount of space with sufficient shade. The play structure was observed to be in good condition. The food menus were observed to be posted outside the kitchen room. LPA's toured the facility kitchen and found it to be clean and orderly. The license was observed to be posted behind the front desk. At approximately 12:50 PM LPA's observed the Child Passenger restraint system poster (PUB 269) to be missing. LPA's asked director Samantha where the poster was located, Samantha stated she was unaware what that poster is and asked assistant director, Zenaida Garcia who was also unaware of what that poster was. LPA's also observed the Designation of Facility Responsibility- LIC308 to designate two employees who no longer work at the facility. LPA's asked Samantha if there is an updated form, Samantha stated there was one in Zenaida's file. At 2:25 PM, LPA's reviewed Zenaida's file and found the form to be missing. Continued on 809-C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LEARNING EXPERIENCE, THE	FACILITY NUMBER: 566215667
	VISIT DATE: 04/20/2023

NARRATIVE

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LPA'a reviewed a sampling of 5 children's records, 5 out of 5 children's records were found to be complete and current. LPA's reviewed 5 staff records. LPA's found the vaccines need to be updated, director states she will get copies in the files.

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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

No deficiencies were cited.

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.

Exit interview conducted, appeal rights were given, and report was reviewed with director Samantha Croce.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023

LIC809 (FAS) - (06/04)

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