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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374844846
Report Date: 06/07/2023
Date Signed: 06/07/2023 12:11:38 PM

Document Has Been Signed on 06/07/2023 12:11 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
374844846
ADMINISTRATOR:DUMAS, NIKOLEFACILITY TYPE:
850
ADDRESS:4174 AVENIDA DE LA PLATATELEPHONE:
(760) 940-6932
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY: 115TOTAL ENROLLED CHILDREN: 56CENSUS: 47DATE:
06/07/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Evelyn HarperTIME COMPLETED:
12:25 PM
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Licensing Program Analyst (LPA), Ana Noble conducted a Case Management inspection on June 7, 2023 for the purpose of decreasing and removing a classroom-Twaddler B from the Preschool License. Twaddler B is now part of the Infant License (Now identified as Infant B).

There were no deficiencies observed during this inspection. The capacity for the Preschool License will be decrease from 115 to 107, due to this change in classroom and usage of the Twaddler B classroom.

An exit interview was conducted, and this report was reviewed with the Director, Evelyn Harper. Appeal rights were discussed and provided during the exit interview. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023
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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