493009946-11-22-2021-01-CC-AHON-C92Q4V-20211123105100

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 493009946
Report Date: 11/22/2021
Date Signed: 11/22/2021 02:51:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/23/2021 and conducted by Evaluator Yang Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20210823130535

FACILITY NAME:	LEARNING EXPERIENCE-S/A, THE		FACILITY NUMBER:	493009946
ADMINISTRATOR:	RETHERFORD, STEPHANIE		FACILITY TYPE:	840
ADDRESS:	6150 COMMERCE BLVD		TELEPHONE:	(707) 585-5990
CITY:	ROHNERT PARK	STATE: CA	ZIP CODE:	94928
CAPACITY:	15	CENSUS: 0	DATE:	11/22/2021
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Denise Olsen		TIME COMPLETED:	01:01 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

-Unqualified staff supervising children

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

A follow-up complaint investigation visit was made to the facility today by Licensing Program Analyst (LPA), Y. Yang to deliver complaint investigation findings. During today’s visit, the LPA met with the center’s acting director, Denise Olsen (S1) at 12:10pm to discuss the findings. Previously, visits were made to the facility by the LPA on 09/01/21,10/22/21, 10/28/21, and 11/17/21. It was alleged that unqualified staff members are supervising children at the facility. Specifically, it has been alleged that staff S9 and S10, who are lacking the required educational units, are supervising awake children without working under the direct supervision of a teacher.
The LPA interviewed the center’s assistant director, Sarah Kalua (S7) on 09/01/21 at 01:08pm. Kalua denied the allegation and stated that all aides must work under the supervision of a teacher unless the children in the classroom are napping. The center director, Karen Arena was not available for an interview. Arena’s last day working at the facility was on 09/03/21. The center’s acting director, Denise Olsen (S1) was interviewed on 11/17/21 at 11:45am. Continued on LIC90099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang Yang	TELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 7

Control Number 01-CC-20210823130535

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: LEARNING EXPERIENCE-S/A, THE	FACILITY NUMBER: 493009946
	VISIT DATE: 11/22/2021

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
26
27
28
29
30
31
32

Olsen stated that she has worked at this center since the last week of August 2021. Olsen stated that since being appointed acting center director, she has not observed any unqualified staff supervising children. During the investigation, the LPA reviewed the personnel files of S9 and S10. Both staff members did not have the required units necessary to qualify as a teacher and therefore were required to work under the direct supervision of a teacher when working with awake children. Olsen stated that S9 and S10 are no longer employed by the center.

Interviews with facility staff were conducted by the LPA during the investigation. Staff members S7 and S2 were interviewed on 09/01/21. S3 was interviewed on 10/22/21. S8 was interviewed on 10/28/21. S1, S4-S6 were interviewed on 11/17/21. Staff that were interviewed that are familiar with S9 and S10 all reported that they have observed staff S9 and S10 supervising awake children without working under the direct supervision of a teacher in a classroom.

Based on information obtained from interviews and personnel documents, the preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated. California Code of Regulations, Title 22, is being cited on the attached LIC 9099-D. Appeal rights were provided. An exit interview was conducted, and this report was read and discussed with the facility’s acting center director, Denise Olsen. The Notice of Site Visit shall be posted for 30 days.

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang Yang	TELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/23/2021 and conducted by Evaluator Yang Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20210823130535

FACILITY NAME:	LEARNING EXPERIENCE-S/A, THE		FACILITY NUMBER:	493009946
ADMINISTRATOR:	RETHERFORD, STEPHANIE		FACILITY TYPE:	840
ADDRESS:	6150 COMMERCE BLVD		TELEPHONE:	(707) 585-5990
CITY:	ROHNERT PARK	STATE: CA	ZIP CODE:	94928
CAPACITY:	15	CENSUS: 0	DATE:	11/22/2021
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Denise Olsen		TIME COMPLETED:	01:01 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

-Insufficient supplies available for sanitation

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

An unannounced follow-up complaint investigation visit was made today by Licensing Program Analyst (LPA), Y. Yang to deliver complaint investigation findings. The LPA met with the center’s acting director, Denise Olsen (staff S1) during today’s visit. Previous investigation visits were made to the facility by the LPA on 09/01/21, 10/22/21, 10/28/21, and 11/17/21. It was alleged that there are insufficient sanitation supplies available at the facility.
During the initial investigation visit on 09/01/21, the LPA met with the facility’s assistant director, Sarah Kalua (staff S7) at 01:08pm to discuss the allegations. The former center director, Karen Arena was not available for an interview. Arena’s last day working at the facility was on 09/03/21. Kalua stated that she denies the allegations that there are insufficient sanitation supplies available. Kalua stated that the facility maintains an adequate amount of sanitation supplies on hand. Kalua stated that the facility receives deliveries from food service distributor US Food twice a month.
Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang Yang	TELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 7

Control Number 01-CC-20210823130535

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: LEARNING EXPERIENCE-S/A, THE	FACILITY NUMBER: 493009946
	VISIT DATE: 11/22/2021

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
26
27
28
29
30
31
32

The center’s acting director, Denise Olsen (S1) was interviewed on 11/17/21 at 11:45am. Olsen stated that she has worked at this center since the last week of August 2021. Olsen stated that she also denies the allegation and stated that sanitation supplies are always available at the center.

During the LPA’s inspection visits to the center, facility tours were provided by the acting center director, Denise Olsen. The LPA toured all classrooms and observed that sanitation supplies were available in all classrooms. No health and safety hazards were observed during any of the site visits.
Interviews with facility staff were conducted by the LPA during the investigation. Staff members S7 and S2 were interviewed on 09/01/21. S3 was interviewed on 10/22/21. S8 was interviewed on 10/28/21. S1, S4-S6 were interviewed on 11/17/21. Staff that were interviewed corroborated the assistant director’s and the acting center director’s statements. Staff interviewed all stated that they believe that there are sufficient sanitation supplies available in their classroom and in storage at the center. Staff interviewed all reported that they have not had any difficulties obtaining sanitation supplies from management for their classroom.

Based on available information and interviews conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated. All licensing reports are public information and must be made available upon request for at least three years. This report was read and reviewed with the facility’s acting director, Denise Olsen. There were no Title 22 deficiencies cited during today's inspection. Appeal rights were provided.

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang Yang	TELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

LIC9099 (FAS) - (06/04)

Page: 4 of 7

Control Number 01-CC-20210823130535

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: LEARNING EXPERIENCE-S/A, THE	FACILITY NUMBER: 493009946
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/22/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/23/2021 Section Cited CCR 101216.1(b)(1)	1 2 3 4 5 6 7	Teacher Qualifications and Duties.A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below, or shall have obtained a Child Development Assistance Permit issued by the California Commission on Teacher Credentialing.This requirement was not met as evidenced by:	1 2 3 4 5 6 7	The school-age program is currently on inactive license status. The acting center director, Denise Olsen stated that when the license becomes active again, she will staff the classroom with qualified teachers and an updated LIC500 will be submitted to the Department.
	8 9 10 11 12 13 14	Based on the LPA's interviews with staff and a personnel record review, the facility did not ensure that S9 and S10 met the qualifications required to work in the capacity of a teacher. Record review indicates that S9 and S10 were only qualified to work as an aide under the direct supervision of a teacher. Based on the LPA's interviews, it was corroborated that S9 and S10 supervised awake children for a portion of the day without being under direct supervision of a qualified teacher, which poses a potential risk to the children in care.	8 9 10 11 12 13 14	Olsen stated that she will also be auditing the personnel files of all staff to ensure that staff's job duties match their qualifications.This deficiency was cleared during today's visit.
	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: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang Yang	TELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

LIC9099 (FAS) - (06/04)

Page: 7 of 7