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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374844846
Report Date: 10/10/2023
Date Signed: 10/10/2023 12:48:47 PM

Document Has Been Signed on 10/10/2023 12:48 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:EVELYN HARPERFACILITY TYPE:
850
ADDRESS:4174 AVENIDA DE LA PLATATELEPHONE:
(760) 940-6932
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY: 107TOTAL ENROLLED CHILDREN: 55CENSUS: 39DATE:
10/10/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Evelyn HarperTIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Keely Messerschmidt arrived at the facility on a case management inspection to follow-up on an Unusual Incident Report (UIR) which occurred on September 8th, 2023 per Director. LPA met with Director Evelyn Harper, and provided purpose of inspection. At the time of inspection, LPA toured the facility, took census, interviewed and reviewed documents previously submitted to the department with Director.

The reported incident took place on September 8th, 2023, regarding a parent that brought to the Directors attention that their child had alleged that S1 had hit child on arm.

LPA interviewed Director and confirmed that she had spoken with non-bio parent who stated that C1 gestured these allegations and Director submitted the UIR. LPA confirmed with Director that she had conducted her own investigation as well, interviewing staff and there was no evidence founded that this allegation occurred. Director also stated that child does not have complete language to conduct an interview.

An exit interview was conducted with Director Evelyn Harper and a copy of this report was provided along with the Notice of Site visit.

Notice of site visit must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2023
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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