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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374844846
Report Date: 07/01/2024
Date Signed: 07/01/2024 12:04:47 PM

Document Has Been Signed on 07/01/2024 12:04 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
374844846
ADMINISTRATOR/
DIRECTOR:		EVELYN HARPERFACILITY TYPE:
850
ADDRESS:4174 AVENIDA DE LA PLATATELEPHONE:
(760) 940-6932
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY: 107TOTAL ENROLLED CHILDREN: 83CENSUS: 40DATE:
07/01/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Sejal PatelTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On July 1, 2024, Licensing Program Analyst (LPA) Keely Messerschmidt conducted a case management visit in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was reported to Community Care Licensing (CCL) on 6/28/2024.  

During this visit LPA conducted interviews with staff and reviewed facility records relating to incident that took place on June 27th, 2024 involving child #1 (C1).

No further information is needed at this time.

An exit interview was conducted and a copy of this report, appeal rights and notice of site visit was provided to Owner Sejal Patel..
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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