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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215667
Report Date: 10/24/2023
Date Signed: 10/24/2023 02:05:10 PM

Document Has Been Signed on 10/24/2023 02:05 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: 106TOTAL ENROLLED CHILDREN: 106CENSUS: 64DATE:
10/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:16 PM
MET WITH:Marlene Ybarra and Zeneida GarciaTIME COMPLETED:
02:20 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 October 24, 2023 Licensing Program Analysts (LPA's) Susana Martinez and Veronica Diaz conducted an unannounced case management- other inspection. LPA's were greeted by assistant director Zeneida Garcia, LPA's advised her the purpose for the inspection and asked if the director was on site. Zeneida stated the director was not currently on site. LPA's toured the facility inside and outside. At the time of inspection there were 64 children in the care of 10 staff members. During the tour the director Marlene Ybarra arrived.

LPA Martinez asked the director how long she had been working as the director, Marlene stated for about a month. LPA asked director if she had submitted her directors packet to the Department, director stated no. LPA questioned director why not, Director stated because there is something missing and was not sure what it was. LPA asked if she has tried contacting the Department for help, Director stated yes just yesterday.

LPA reviewed the directors packet and observed the Health and Safety Training to be missing. Director stated she did not know what that is. LPA's provided Director with resources and a link for a Preventative Health and Safety course. LPA Martinez asked assistant director Zeneida if she had a preventative health and safety certificate, Zeneida stated no. LPA asked if any other staff member on site has a certificate, Zeneida stated no.

During todays inspection one Type B deficiency was issued and can be found on the attached 809-D.

A notice of site visit was provided.

Exit interview conducted, appeal rights were given, and report was reviewed with director Marlene Ybarra.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 10/24/2023 02:05 PM - It Cannot Be Edited


Created By: Susana Martinez On 10/24/2023 at 01:40 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 566215667

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/07/2023
Section Cited
HSC
1596.866(a)(1)

1
2
3
4
5
6
7
1596.866Additional health and safety training; condition of licensure(a)(1)In addition to other required training, at least one director or teacher at each day care center, and each family day care home licensee who provides care, shall have at least 15 hours of health and safety training, and if applicable, at least one additional hour of training pursuant to clause (ii) of subparagraph (C) of paragraph (2). This requirement is not met as evidenced by:
1
2
3
4
5
6
7
The Director is to submit the Health and Safety Certificate or confirmation of enrollement to a health and safety course to the Department by 11/07/2023. LPA provided email and mailing address.
8
9
10
11
12
13
14
Based on observation, interviews conducted, and record review, Center did not comply with the deficiency cited above as no one on site has completed the Preventative Health and Safety Training which poses a potential risk to the health, safety and or personal rights of children in care.
8
9
10
11
12
13
14

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.
SUPERVISOR'S NAME:George Mingle
LICENSING EVALUATOR NAME:Susana Martinez
LICENSING EVALUATOR SIGNATURE:
DATE: 10/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/24/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2