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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374844847
Report Date: 11/15/2021
Date Signed: 11/15/2021 12:58:42 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/08/2021 and conducted by Evaluator Ana Noble
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20211108143710
FACILITY NAME:LEARNING EXPERIENCE, THEFACILITY NUMBER:
374844847
ADMINISTRATOR:DUMAS, NIKOLEFACILITY TYPE:
830
ADDRESS:4174 AVENIDA DE LA PLATATELEPHONE:
(760) 940-6932
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY:32CENSUS: 2DATE:
11/15/2021
UNANNOUNCEDTIME BEGAN:
07:10 AM
MET WITH:Stephanie DavisTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Ana Noble and Jeanette Sanchez and Licensing Program Manager (LPM) Pauline Beschorner arrived at this facility and met with Stephanie Davis Assistant Director/Lucero Cervantes, Lead Teacher. LPA Noble informed of the purpose of the visit, which was to conduct an investigation into the above allegation. LPAs and LPM toured upon arrival there were only 2 infants (by 8:15 am there were 15 infants) took census and interviewed staff and reviewed records.
It is alleged that the facility is operating out of ratio. Based on LPAs observations and interviews conducted on 11/15/2021, the facility has been operating out of ratio. LPA's reviewed and obtained copies of facility records, conducted interviews with relevant parties, that information revealed that 2 staff have been present with a total of 10 infant at one time and that this occurs on and off, when staff are out or arrive late. Additionally, Ms. Davis-Assistant Directed admitted that not all children present are not all signed in by the parents. Sign in sheet are not allows accurate, may not show all children present. The facility is usually out of ratio in the morning hours between 7:00 am to 8:00 am.Additionally-information obtained revealed that 2 staff had been left alone with a total of 10 infants

See LIC9099C for continuance of this report.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
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 3
Control Number 10-CC-20211108143710
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 374844847
VISIT DATE: 11/15/2021
NARRATIVE
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This agency has investigated the allegation of Facility operating out of ratio, the preponderance of evidence standard has been met, and therefore, the above allegation is found to be SUBSTANTIATED.

An exit interview was conducted with Stephanie Davis, Assistant Director appeal rights discussed and provided along with a copy of this report on this date. A copy of this report must be made available to the public upon request for three years.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.


SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20211108143710
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: LEARNING EXPERIENCE, THE
FACILITY NUMBER: 374844847
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/19/2021
Section Cited
CCR
101416.5(b)
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Staff-Infant Ratio. There shall be a ratio of one teacher for every four infants in attendance.

This requirement was not met as evidence by:
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Assistant Director agrees to submit a written schedule of all staff that will be available in the Infant program in morning hours of 7:00 am to 8:00 am to ensure complaince with staff ratios. Submit a copy to the Department by 11/19/2021.
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Based on investigation and information obtained the facility has been operating out of ratio in the morning hours between 7:00 am to 8:00 am. Additionally-information obtained revealed that 2 staff had been left alone with a total of 10 infants. This potential risk to the health and safety of 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: Pauline Beschorner
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3