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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408264
Report Date: 01/18/2024
Date Signed: 01/18/2024 03:20:54 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
01/16/2024 and conducted by Evaluator Ashley Curry
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240116104040
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
073408264
ADMINISTRATOR:KAMAL, FAUZIAFACILITY TYPE:
840
ADDRESS:4831 LONE TREE WAYTELEPHONE:
(925) 281-7640
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY:13CENSUS: 0DATE:
01/18/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Nicole NeelyTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff are commingling day care children
INVESTIGATION FINDINGS:
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On 01/18/2024 at 10:15 AM Licensing Program Analyst (LPA), A. Curry conducted an unannounced complaint inspection. LPA met with the Director, Nicole Neely, to explain the purpose of today's visit. LPA toured the facility, retrieved relevant documentation, reviewed files, and conducted interviews with staff and children. Based on the information gathered through interviews, it was revealed that school age children and preschool children commingle in the same classroom and on the playground (See 809D). The director was reminded that school age children shall never share the same space as other child care center children.


Exit interview conducted, appeal rights were given, and report was reviewed with Director, Nicole Neely and Owner, Srivasu Kakarla.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
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 2
Control Number 02-CC-20240116104040
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: 073408264
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/01/2024
Section Cited
CCR
101538.3(b)
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101538.3 Indoor Activity Space for School-Age Children (b)In combination programs, indoor activity space provided for school-age child.. shall be physically separated from space provided for infant care and child care center children.
This requirement is not met as evidence by:
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By 02/01/2024 the facility will email a written plan on how the facility will ensure they have enough staffing, so commingling is not occurring.
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Based on interviews the facility not comply with the section cited above by ensuring the school age children are not commingling with other child care center children, which poses a potential risk to health & safety of children in care.
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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: 01/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2