153810197-9-13-2024-57-CC-CBUS-D93T9S-20240913143224

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153810197
Report Date: 09/13/2024
Date Signed: 09/13/2024 02:32:29 PM

Document Has Been Signed on 09/13/2024 02:32 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
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	LEARNING EXPERIENCE, THE		FACILITY NUMBER:	153810197
ADMINISTRATOR/ DIRECTOR:	AMANDA FLORES		FACILITY TYPE:	850
ADDRESS:	2800 CALLOWAY DR		TELEPHONE:	(661) 679-6024
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93312
CAPACITY: 166	TOTAL ENROLLED CHILDREN: 166	CENSUS: 84	DATE:	09/13/2024
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:20 AM
MET WITH:	Amanda Flores		TIME VISIT/ INSPECTION COMPLETED:	03:00 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 09/13/2024, Licensing Program Analyst (LPA), Christopher Burnias met with Director Amanda Flores for an unannounced Case Management incident inspection. LPA toured the facility, and a census was taken. The purpose of today's inspection was to address an unusual incident reported to the Fresno Community Care Licensing (CCL) office. LPA interviewed Staff1 (S1) and Staff 2 (S2) who were present during the incident on 09/06/24. According to S1 and S2, an incident occurred while putting children down for nap time. S1 and S2 stated that Child 1 (C1) was crying heavily, held their breath, and stopped breathing. S1 stated that when it was nap time, C1 began to cry and S1 rocked C1 to help calm them. S1 stated they observed C1 toss their head back and hold their breath. S1 stated that they attempted to blow air in C1's face to try and get them to continue breathing but noticed that C1 did not continue breathing. S1 stated that they told S2 that the child was not breathing and to notify administrative staff. S2 stated that they had noticed C1's lips and under eyes turning blue and that S2 went to notify administrative staff. According to S1 and S2, 911 was called and stayed on the line as they followed their instructions, and waited for Emergency Medical Service (EMS) to arrive to the facility. S1 and S2 also stated that C1's parents were notified of the incident and that both parents came to the facility. S1 and S2 stated that by the time EMS arrived to the facility, C1 was already breathing again and regaining the color in their face. S1 and S2 stated that EMS assessed the child, took their vitals and determined that C1 was okay. Continued on LIC 809C

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024

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
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LEARNING EXPERIENCE, THE	FACILITY NUMBER: 153810197
	VISIT DATE: 09/13/2024

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

S1 and S2 stated that EMS told C1's parent that they were clear to go home and to continue to observe C1 for any further incidents.

S1 and S2 both stated that C1's parent had informed the facility that C1 has had similar incidents at home, that it is not due to a medical condition, that it is common, and provided the facility with a letter addressing what to do if it should occur again.

Based on the information obtained through interviews, LPA determined facility took appropriate measures to assess the situation, and that reporting requirements were met. Facility followed proper policies and procedures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency is cited during today's visit. An exit interview was conducted with Director Amanda Flores, and appeal rights were provided.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024

LIC809 (FAS) - (06/04)

Page: 2 of 2