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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408262
Report Date: 04/13/2023
Date Signed: 04/13/2023 12:53:53 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/07/2023 and conducted by Evaluator Ashley Curry
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230407125805
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
073408262
ADMINISTRATOR:KAMAL, FAUZIAFACILITY TYPE:
830
ADDRESS:4831 LONE TREE WAYTELEPHONE:
(925) 281-7640
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY:32CENSUS: 28DATE:
04/13/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Fauzia KamalTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff are operating out of ratio
Staff are not providing adequate supervision
INVESTIGATION FINDINGS:
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On 04/13/2023 At 9:30AM Licensing Program Analyst (LPA) A. Curry conducted an unannounced complaint inspection and met with director, Fauzia Kamal, to discuss the above allegations. The owner Rajya Ponnaluri arrived later during the visit. The LPA toured the facility, made observations, and conducted interviews with the staff. The allegations are staff are operating out of ratio and staff are not providing adequate supervision. During the course of the investigation, interviews revealed that staff are out of ratio at times when other staff are out sick or on vacation, which resulted in supervison issues. Staff indicated they can not adequately care for children, which is causing children to get hurt while in care. Based on the LPA’s interviews and observation the preponderance of evidence standard has been met. Therefore the above allegation is found to be SUBSTANTIATED.

***Continued on 9099C***
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023
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 3
Control Number 02-CC-20230407125805
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 073408262
VISIT DATE: 04/13/2023
NARRATIVE
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LPA A. Curry informed facility representative Fauzia Kamal that this report dated 04/13/2023 document(s) 2 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA A. Curry informed the facility representative to provide a copy of this licensing report dated 04/13/2023 that documents any Type A citation(s) 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.

An exit interview was conducted, appeal rights were given, and a copy of this report was provided to the director.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 02-CC-20230407125805
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 073408262
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/14/2023
Section Cited
CCR
101416.5(b)
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101416.5 Staff-Infant Ratio (b)There shall be a ratio of one teacher for every four infants in attendance.

This requirement is not met as evidence by:
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By 04/14/2023 the director will submit a written plan on how they will maintain ratio, even when staff are out sick or on vacation.
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Based on interviews the facility did not ensure staff are operating within ratio at all times, which poses an immediate risk to the health, safety, and personal rights of children in care.
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Type A
04/14/2023
Section Cited
CCR
101229(a)
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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.

This requirement was not met as evidence by:
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By 04/14/2023 the director wil submit a written plan on how the facility will ensure they provide care and supervision to meet the children's needs.
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Based on interviews the facility did not ensure all staff are supervising the children properly to meet the children's needs, which poses an immediate risk to the health, safety, and personal rights of children in care. Staff indicated they are unable to adequately supervise the children, which is causing children to get hurt.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3