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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334844856
Report Date: 12/29/2025
Date Signed: 12/29/2025 04:47:56 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/25/2025 and conducted by Evaluator Tiffanie Diep
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20251125143559
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
334844856
ADMINISTRATOR:BELEN ACOSTAFACILITY TYPE:
850
ADDRESS:515 EAST ALESSANDRO BOULEVARDTELEPHONE:
(951) 776-2459
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY:135CENSUS: 83DATE:
12/29/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Belen AcostaTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Other - Staff did not seek timely medical attention for child
INVESTIGATION FINDINGS:
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On 12/29/2025 at 8:45 AM, Licensing Program Analyst (LPA) Tiffanie Diep met with Director Belen Acosta for the purpose of an unannounced complaint visit to deliver the finding regarding the above allegation. LPA observed 12 staff supervising 83 children.

It was alleged that staff did not seek timely medical attention for a child. Throughout the course of the investigation, LPA obtained relevant documents and conducted interviews with pertinent individuals.

Continues on LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025
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 5
Control Number 09-CC-20251125143559
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 334844856
VISIT DATE: 12/29/2025
NARRATIVE
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Continued from LIC 9099 (Page 2)

Interviews conducted and records reviewed revealed a child (C1) sustained a head injury requiring stitches on or about 11/24/2025 when they were pushed by another child (C2) while children were transitioning from the classroom to outdoor play. Information obtained indicated appropriate ratios were maintained by staff and the staff member (S1) present was cleaning the classroom at the time of the incident. It was revealed S1 witnessed C1 fall and immediately attended to C1. Interviews conducted and records reviewed indicated authorized representatives are notified of any injuries their children sustained while in care via telephone and through an incident report. Although information obtained revealed C1’s authorized representatives were immediately notified of the incident, it is determined that the seriousness of C1’s injury required immediate medical treatment and staff did not seek timely medical attention for C1’s injury.

Based on information obtained during interviews and records reviewed, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Chapter 1), are being cited on the attached LIC 9099-D.

LPA Tiffanie Diep informed the director, Belen Acosta, that this report dated 12/29/2025 documents one Type A citation which shall be posted for 30 consecutive days as there was an immediate risk to the health of children in care.

Also, LPA Tiffanie Diep informed Director to provide a copy of this licensing report dated 12/29/2025 that documents any Type A citation 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 Acknowledgment of Receipt of Licensing Reports (LIC 9224), or other written statement, must be placed in the child’s file for verification.

An exit interview was conducted and report was reviewed with the director, Belen Acosta. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 09-CC-20251125143559
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 334844856
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/30/2025
Section Cited
CCR
101226(c)
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101226(c) The licensee shall obtain emergency medical treatment without specific instructions from the child's authorized representative...if the nature of the child's...injury is such that there should be no delay in getting medical treatment for the child.
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LPA discussed obtaining medical treatment for serious injuries with Director. Director agreed to conduct health-related services training for staff and provide LPA with a copy along with signatures from staff for verification by close of business on 12/30/2025.
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This requirement is not met as evidenced by:
Based on information obtained during interviews and records reviewed, it was revealed that staff did not seek timely medical attention for C1’s serious head injury which poses an immediate health risk to 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: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5