073408262-7-6-2023-02-CC-MMEA-CTH59Y-20230706194617

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408262
Report Date: 07/06/2023
Date Signed: 07/06/2023 01:34:49 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
04/17/2023 and conducted by Evaluator Melissa Guirit

COMPLAINT CONTROL NUMBER: 02-CC-20230417084949

FACILITY NAME:	LEARNING EXPERIENCE, THE		FACILITY NUMBER:	073408262
ADMINISTRATOR:	KAMAL, FAUZIA		FACILITY TYPE:	830
ADDRESS:	4831 LONE TREE WAY		TELEPHONE:	(925) 281-7640
CITY:	ANTIOCH	STATE: CA	ZIP CODE:	94531
CAPACITY:	32	CENSUS: 26	DATE:	07/06/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Fauzia Kamal		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff restrained an infant

INVESTIGATION FINDINGS:

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

On 7/6/23, Licensing Program Analyst (LPA) Melissa Guirit conducted an unannounced complaint
investigation to deliver the findings. LPA met with Director, Fauzia Kamal. Present during today's inspection
were 26 children and seven staff.

Complainant alleges facility staff restrained an infant. Based on staff interviews, staff
stated that a child was placed in a high chair until parent picked up child. See 9099-D for Type B
citation.

Based on the interviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. Exit interview conducted and Notice of Site Visit provided and must be posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

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 4

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
04/17/2023 and conducted by Evaluator Melissa Guirit

COMPLAINT CONTROL NUMBER: 02-CC-20230417084949

FACILITY NAME:	LEARNING EXPERIENCE, THE		FACILITY NUMBER:	073408262
ADMINISTRATOR:	KAMAL, FAUZIA		FACILITY TYPE:	830
ADDRESS:	4831 LONE TREE WAY		TELEPHONE:	(925) 281-7640
CITY:	ANTIOCH	STATE: CA	ZIP CODE:	94531
CAPACITY:	32	CENSUS: 26	DATE:	07/06/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Fauzia Kamal		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff handled an infant roughly

INVESTIGATION FINDINGS:

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

On 7/6/23, Licensing Program Analyst (LPA) Melissa Guirit conducted an Unannounced Complaint
Investigation and met with Director, Fauzia Kamal. The LPA inspected the facility. Present during today's
inspection were 26 children and seven staff. Complaint allegation is that staff handled an infant roughly.

Based on LPA staff interviews and observations, the allegation is UNSUBSTANTIATED due to staff interviews stating that staff ensures that children are not handled in a rough manner.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the
alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No Deficiencies have
been cited for the allegation. A notice of site visit was given and must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

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

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 02-CC-20230417084949

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: 07/06/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/05/2023 Section Cited CCR 101223(a)(7)	1 2 3 4 5 6 7	(a) The licensee shall ensure that each child is accorded the following personal rights:...(7) Not to be placed in any restraining device. Postural supports may be used as specified in Section 101223.1. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	By POC date, Director must ensure that staff have a more clear understanding of children's personal rights. LPA provided website for staff to review at https://ccld.childcarevideos.org/child-care-center-operators/
	8 9 10 11 12 13 14	Based on staff interviews, staff did place a child in a high chair until child was picked up by parent.	8 9 10 11 12 13 14	Director must submit written personal statements from each staff member of what they have learned from the "Children's Personal Rights In Child Care" video.
	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.

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC9099 (FAS) - (06/04)

Page: 4 of 4