566215668-4-26-2023-17-CC-SMAZ-CR9R7T-20230426124652

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215668
Report Date: 04/26/2023
Date Signed: 04/26/2023 12:47:15 PM

Document Has Been Signed on 04/26/2023 12:47 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, THE		FACILITY NUMBER:	566215668
ADMINISTRATOR:	SONIA GARCIA		FACILITY TYPE:	830
ADDRESS:	2003 YOSEMITE AVENUE		TELEPHONE:	(805) 520-5913
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93063
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 40	CENSUS: 0	DATE:	04/26/2023
TYPE OF VISIT:	Office	ANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Kshanika Wijeweera Cavinda Wijeweera, Karen Kiciich and Samantha Croce		TIME COMPLETED:	12:00 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 April 26, 2023 at 11:00 AM, Regional Manager (RM), Adriana Hernandez, Licensing Program Manager (LPM), Ana Tolentino and Licensing Program Analysts (LPAs), Susana Martinez and Giovani Gonzalez met with Licensee, Kshanika Wijeweera Cavinda Wijeweera, Karen Kiciich and Director Samantha Croce for a Non-compliance Conference held in person at the Regional Office. The purpose of the meeting was to discuss recent concerns with the operation of the childcare center pursuant Title 22, Division 12 of the California Code of Regulations.

This Non-compliance Conference was called to discuss the following issues or deficiencies:

- Operations of a Childcare Center

- Staffing for Infant Ratio and Capacity

- Alteration to Existing Buildings or New Facilities

On 4/20/2023, the Department conducted an unannounced 1-Year Required annual inspection. A type A section CCR 101416.5(b) was issued for Licensee having 3 aides with 12 infants. Another type A citation was issued section CCR 101416.3(b) an infant aide shall work directly under the direct supervision of a fully qualified infant teacher. A type B section CCR 101429(a)(2)(B) was issued for licensee carrying around a sleeping infant for over 10 minutes.

Licensee has agreed to the following:

Licensee must ensure the center is within ratio at all times.

Continued on LIC809C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

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

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: 04/26/2023

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

Licensee must ensure that at least one (1) fully qualified teacher is visually observing and supervising a maximum of four (4) children at all times or; at least one (1) qualified teacher and two (2) aides for every 12 children in attendance.

Licensee is not to use adults who provide clerical or custodial services to meet the ratios.

Licensee must operate in compliance Title 22, Division 12 Child Care Regulations at all times.

Licensee must submit a written plan of correction to Community Care Licensing by May 4^th, 2023, indicating how she will comply with the above items.

Facility shall be recommended for the Technical Support Program (TSP).

Abide by California Code of Regulations, Title 22, Division 12, Chapter 3 which can be found on the licensing website www.ccld.ca.gov.

Licensee is recommended to watch the resources for parents and providers. https://ccld.childcarevideos.org/child-care-center-operators/

Licensee was informed that any additional Type A deficiencies may result in an immediate administrative action against the License.

Failure to maintain compliance with this summary and in compliance with regulations, shall result in a more immediate administrative action.

An exit interview was conducted with Licensee, Kshanika Wijeweera Cavinda Wijeweera, Karen Kiciich, Karen Kiciich and Director Samantha Croce. Licensee and director received a copy of this report for their records

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2