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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371440
Report Date: 02/22/2022
Date Signed: 04/05/2022 10:53:30 AM

Document Has Been Signed on 04/05/2022 10:53 AM - 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
304371440
ADMINISTRATOR:PETERSON-CHEEKS, KRISTINEFACILITY TYPE:
830
ADDRESS:17131 BEACH BLVDTELEPHONE:
(562) 393-6685
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: DATE:
02/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nichole OntiverosTIME COMPLETED:
03:15 PM
NARRATIVE
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An unannounced Case Management Inspection was conducted on this day by Licensing Program Analysts (LPAs) Alanna Gontarek and Dianna Valdez Santana for the purpose of amending report from 1/27/2022 regarding complaint received on 12/2/2021. LPAs met with Director, Nichole Ontiveros who guided LPAs on a tour of the facility. Census was taken. LPA observed a total of 23 infants and 5 staff upon arrival.

LPAs observed 5 infants in the Infant Room with 2 staff; 9 infants in the Toddler 'A' classroom with 2 staff; and 9 infants with 3 staff in the Toddler 'B' classroom. LPAs observed Director remove one child from the Toddler 'A' room, and place child into Toddler 'B' room. During the inspection, it was determined the facility is not operating within its licensed capacity and within compliance of staffing ratios. This violates Title 22 Division 12 Chapter 1 Subchapter 2 Section 101416.5(b). This is an immediate health and safety and personal rights risk to the children in care.

A review of staff criminal clearance records indicated that one staff member in the Toddler 'A' classroom did not obtain a criminal record clearance prior to initial presence in the facility. Director provided a copy of the Guardian Employee Roster and the individual, Robin Cruz (Phillips), stated "In process," and not "eligible clearance." LPAs reviewed Licensing Information System (LIS) for employee status, and LIS stated "Overall Status- Pending." Robin Cruz is pending fingerprint clearance and has been working at the facility since 2/14/2022. Per Director, Robin worked: 2/14/22, 2/15/22, 2/16/22, 2/17/22, 2/21/22, and 2/22/22. Per Director, Robin's start date was 2/14/2022. Director was unable to provide proof of fingerprint clearance. This is a violation of Title 22 Division 12 Chapter 1 Article # 3 Section 101170(d)(2). A civil penalty of $500 will be assessed today. Director immediately had Robin Cruz leave the premises and stated will have Robin return once criminal record clearance is obtained.

Facility representative 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.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2022
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 304371440
VISIT DATE: 02/22/2022
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LPAs Alanna Gontarek and Dianna Valdez Santana informed facility representative Nichole Ontiveros that this report dated (2/22/2022) documents (2) Type A citations which shall be posted for 30 consecutive days as there is immediate risks to the health, safety, or personal rights of children in care. Also, LPAs Alanna Gontarek and Dianna Valdez Santana informed the facility representative to provide a copy of this licensing report dated (2/22/2022) that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the facility representative, Nichole Ontiveros. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.



SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/05/2022 10:54 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 03/22/2022 04:34 PM


Created By: Alanna Gontarek On 02/22/2022 at 11:52 AM
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 304371440

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/23/2022
Section Cited
CCR
101170(d)(2)

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Criminal Record Clearance: (d) All individuals subject to criminal record review shall, be fingerprinted...of perjury. (2) The licensee shall...prior to the individual's employment or initial presence in the child care facility. This requirement was not met as evidenced by:
Robin Cruz is pending fingerprint clearance and has been working at the facility since
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Director immediately removed Robin Cruz, from facility. Per Director, will resume employment when Robin is fingerprint cleared and associated. Per Director, will provide proof of fingerprint clearance to LPA Gontarek via email.
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2/14/22, and did not obtain a criminal record clearance prior to initial presence in the facility. LPA Gontarek reviewed Licensing Information System (LIS) for employee status, and LIS stated "Overall Status- Pending." This is an immediate health and safety and personal rights risk to the children in care. Civil penalty of $500 was assessed.
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Type A
02/23/2022
Section Cited
CCR101416.5(b)

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Staff-Infant Ratio: (b). There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by: LPAs observed 9 infants in the Toddler 'A' classroom with 2 staff. The classroom was over ratio by one child. LPAs observed Director remove one child from the Toddler 'A' room, and place child into Toddler
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Per Director, will have an office staff member step into classroom when a classroom is short-staffed. Per Director, will use staffing agency to meet teacher-child ratio. Per Director, will submit registration confirmation from staffing agency to LPA via email.
Child Care Careers (714) 634-2947
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'B' room. This is an immediate health and safety risk to the children in care.
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Per Director, will use staff from "sister school" in the Torrence location. Per Director, will have a staff training to discuss importance of personal rights and ratio. Per Director, will provide copy of Agenda Notes and Staff signatures via email after trainiing is conducted.
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:Patricia Magana
LICENSING EVALUATOR NAME:Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2022


LIC809 (FAS) - (06/04)
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