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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215667
Report Date: 03/13/2024
Date Signed: 03/13/2024 01:02:52 PM

Document Has Been Signed on 03/13/2024 01:02 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
SANTA BARBARA CC RO, 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: 71DATE:
03/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Marlene Ybarra and Zeneida GarciaTIME COMPLETED:
11:30 AM
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On March 13, 2024 Licensing Program Analyst's (LPA's) Susana Martinez and Veronica Diaz conducted an unannounced case management-incident inspection. LPA's met with site director Marlene Ybarra and assistant director Zeneida Garcia. Together with the directors LPA's toured the facility inside and outside. At the time of inspection there were 71 children in care of 10 staff.

On 2/23/2024, Director Marlene Ybarra contacted Community Care Licensing (CCL) to self-report an incident of a child therapist who witnessed a staff (S1) on 2/23/2024 at approximately 11:20 AM grab a child (C1) inappropriately. Therapist overheard C1 indicating they were hurt.

LPA's conducted staff interviews while at the facility. Staff indicated S1 was let go for the day on the date of incident until all internal investigation was concluded. Internal investigations included interviews with C1, child therapist, therapist's supervisor, and other staff in the room on the date of the incident. After further investigation it was concurred that S1 was attempting to prevent C1 from hurting another child. S1 grabbed on to C1's elbow to prevent them from thrusting back and falling to the floor.

Interviews determined, (S1) returned to work on 2/27/2024. Parents of C1 were informed of the incident and C1 is still enrolled in care. Therapist who witnessed the incident also indicated S1's action did not appear to be malicious.

Given the facility's account of the incident when reporting it to CCL and how they addressed the incident, LPA deemed the facility's action was appropriate. No deficiencies were issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with director Marlene Ybarra.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2024
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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