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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215668
Report Date: 08/05/2021
Date Signed: 08/05/2021 03:50:37 PM

Document Has Been Signed on 08/05/2021 03:50 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:
566215668
ADMINISTRATOR:SONIA GARCIAFACILITY TYPE:
830
ADDRESS:2003 YOSEMITE AVENUETELEPHONE:
(805) 520-5913
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 17DATE:
08/05/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:16 PM
MET WITH:Vanessa ManzoTIME COMPLETED:
02:15 PM
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On August 5, 2021 at 1:16 PM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Annual/Random inspection. LPA contacted the facility and conducted Covid-19 screening questions prior to entering the facility. LPA met with facility Business Manager/Interim Director Vanessa Manzo and advised her the purpose of the inspection. There was 17 children in care at the time of the inspection. This center operates from 6:30 AM - 6:30 PM, Monday - Friday. This is a combined center with an preschool program.

LPA observed required licensing documents posted on the wall in the lobby of the facility. The center uses three (3) classrooms for infants/toddlers. Currently they were only using two (2) classrooms at the time of the inspection. LPA observed three (3) teachers caring for the children in the infant classroom. Each classroom had age appropriate toys and furnishings. The classroom had a changing table with a sink readily accessible. LPA observed enough cribs for the infants in care. Facility provides mats for older children that are not using a crib. The facility logs the required 15 minute sleep check logs on clip board. Food and milk is stored within a refrigerator located in the classroom. LPA reviewed a sampling of Individual needs & services and feeding plans. Children bottles and food were properly labeled with child's name and date. The facility distinguishes bottles with formula with a white label and breast milk with a red label. LPA did not observe any toxins/hazardous items accessible to children.

Continued on 809-C
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2021
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: 566215668
VISIT DATE: 08/05/2021
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A sampling of children and staff records were reviewed. LPA observed children's files to be current and complete. LPA observed staff files to be current and complete. LPA verified SB792 Child Adult Immunization and Tuberculosis requirements. Teachers/Aides meet the required qualifications. Teachers/Aides present have a current Pediatric CPR/First-Aid certificate that expire on 4/16/2023. Teachers/Aides present have current Mandated Reporter certificates that expire on 1/9/2022. LPA spoke with Director about new Covid-19 and Safe Sleep requirements. The facility is following current Covid-19 and Safe Sleep requirements.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

No deficiencies cited during today's inspection.



NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021
LIC809 (FAS) - (06/04)
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