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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 485407833
Report Date: 05/20/2022
Date Signed: 05/20/2022 03:36:58 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/01/2022 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20220301090115
FACILITY NAME:LEARNING EXPERIENCE-PRESCHOOL, THEFACILITY NUMBER:
485407833
ADMINISTRATOR:OLDANI, SABRINAFACILITY TYPE:
850
ADDRESS:1959 PEABODY ROADTELEPHONE:
(707) 305-4336
CITY:VACAVILLESTATE: CAZIP CODE:
95688
CAPACITY:120CENSUS: 64DATE:
05/20/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Jennifer Hansen - Center Director TIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Unqualified staff provide care and supervising to children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Melchisedeck Augustin conducted an unannounced subsequent complaint-Investigation visit and met with Center Director, Jennifer Hansen (CD) to deliver the finding regarding the above allegation. LPA, Yang previously met with Licensee, Jiayuan Lou (LS) on 03/02/22 to initiate the investigation by discussing the purpose of the visit, requesting personnel records, Parent Handbook, and a facility roster of the children currently in care. It was alleged that unqualified staff provide care and supervision to children in care.

LPA Augustin interviewed LS, LS2, five staff (S1-S5), two adults (A1 & A2), and two parents (P1 & P2) from 03/21/22 through 05/12/22. LS claimed that unqualified staff were never left alone to care and supervised children in care and the facility ensured it verified staff qualifications prior to hiring staff.

Among statements provided by staff, adults and parents, two witnesses reported on several occasions, they saw S1 and another staff (S7), who was qualified to work as an Aide, be left alone with up to 12 children in the Twaddler and Preschool classrooms. (Continue to LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
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 13-CC-20220301090115
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: LEARNING EXPERIENCE-PRESCHOOL, THE
FACILITY NUMBER: 485407833
VISIT DATE: 05/20/2022
NARRATIVE
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The facility submitted staff records on 03/22/22 which confirmed S1 & S7 did not satisfy the requirements of Teacher Qualifications of California Code of Regulations, 101216.1(b)(1) which is required to allow for supervision of up to 12 preschool children.

Based on this investigation, there is a preponderance of evidence to show the facility did not comply with Teacher Qualifications and therefore the allegation is substantiated. Exit interview conducted and report was reviewed with the Center Director, Jennifer Hansen. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. The following California Code of Regulations, Title 22, Division 12, Chapter 1, Article 6 violations were cited on the following LIC 9099D. Appeal Rights were provided.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 13-CC-20220301090115
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LEARNING EXPERIENCE-PRESCHOOL, THE
FACILITY NUMBER: 485407833
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/10/2022
Section Cited
CCR
101216.1(b)(1)
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A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below, or shall have obtained a Child Development Assistance Permit issued by the California Commission on Teacher Credentialing.
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Center Director stated she would ensure that each classroom had fully qualified Teachers to ensure that no unqualified staff are left alone. Center Director stated she would produce a written statement detailing the steps she took to ensure the facility was complying with CCR 101216.1(b)(1), and she would submit her POC
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This requirement was not met as evidenced by: Based on multitple statements, which corroborated two Aides (S1) and another staff (S7) were left alone with up to 12 children in the Twaddler and Preschool classrooms. This poses/posed a potential health, safety or personal rights risk to persons in care.
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to the Department by 06/10/22.

Email: melchisedeck.augustin@dss.ca.gov
Fax: 707-588-5099
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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: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5