485407833-8-2-2024-01-CC-MAUN-D7RTLB-20240802144918

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 485407833
Report Date: 08/02/2024
Date Signed: 08/02/2024 02:49:39 PM

Document Has Been Signed on 08/02/2024 02:49 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME:	LEARNING EXPERIENCE VACAVILLE-P/S, THE		FACILITY NUMBER:	485407833
ADMINISTRATOR/ DIRECTOR:	BIANE ISBEIH		FACILITY TYPE:	850
ADDRESS:	1959 PEABODY ROAD		TELEPHONE:	(707) 305-4336
CITY:	VACAVILLE	STATE: CA	ZIP CODE:	95687
CAPACITY: 135	TOTAL ENROLLED CHILDREN: 140	CENSUS: 72	DATE:	08/02/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:15 AM
MET WITH:	Biane Isbeih - Center Director		TIME VISIT/ INSPECTION COMPLETED:	03:00 PM

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An Annual/Required visit was made to the facility by Licensing Program Analyst (LPA), Melchisedeck Augustin, and LPA met with Center Director (CD), Biane Isbeih. The facility file was reviewed prior to this visit. A review of the personnel report on file indicates that all facility staff have received criminal record and child abuse index clearances or exemptions. Facility Representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The facility’s operating hours are 6:30AM-6:00PM, Monday-Friday. The facility was toured inside and outside, and the floor and yard plan submitted by the licensee were verified. Sign in/out records & procedure was reviewed and in compliance. Items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. CD reported that the facility did not store any firearm(s) or other dangerous weapon(s) on the premise. CD reported there was/were no poison(s) in the facility, and none were observed during this inspection. LPA observed the toys, floors, desks and other equipment and surfaces are clean, toxic free, safe, and in good condition. There is drinking water available to children indoors and outdoors using water fountain and individual drinking cups. The children's bathrooms are in safe and sanitary condition. There are enough sinks and toilets for the children to utilize. The center’s isolation area for any child who becomes ill while in care is located behind the staff counter. LPA observed food prep areas are clean. Food is properly stored and refrigerated as needed. There was no expired or contaminated food observed in the kitchen. Garbage cans containing solid waste have tight fitting lids. Written menus were posted in each classroom, and the menus were posted at least one week in advance. (Continue to LIC 809-C)

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 VACAVILLE-P/S, THE	FACILITY NUMBER: 485407833
	VISIT DATE: 08/02/2024

NARRATIVE

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There is a working smoke detector, carbon monoxide detector and fire extinguisher in the facility. According to the facility’s disaster drill log, the facility conducted an emergency disaster drill within six months, and the last drill was documented on 07/31/2024. LPA observed the playground equipment and surface areas were in safe condition. There is foam cushioning underneath play equipment to absorb falls. There were no bodies of water observed on the site.

During today's inspection, staffing ratios were being met, 72 children were being supervised by 10 staff. The facility was operating within the licensed capacity and ratio requirements. LPA reviewed six staff (S1-S5 & CD) files were reviewed at 11:29AM which revealed S2 & S4-S5’s records did not contain evidence of completion of AB 1207 Mandated Reporter Training. LPA reviewed five children’s (C1-C5) record at 12:25PM which contained Personal Rights (LIC 613A), Consent for Emergency Medical Treatment (LIC 627), Identification and Emergency Information (LIC 700), Notification of Parent Rights (LIC 995), Physician Report (LIC 701), Preadmission Health History (LIC 702), Immunization Record (IR), and IR transcribed onto CDPH 286 form.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/. LPA requested a Plan for Providing IMS from the Facility Representative.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the facility was constructed after January 01, 2010, and is exempt from the requirement(s). (Continue to LIC 809-C).

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 VACAVILLE-P/S, THE	FACILITY NUMBER: 485407833
	VISIT DATE: 08/02/2024

NARRATIVE

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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Exit interviewed conducted and report was reviewed with Center Director, Biane Isbeih. 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 violation of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 08/02/2024 02:49 PM - It Cannot Be Edited

Created By: Melchisedeck Augustin On 08/02/2024 at 01:05 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LEARNING EXPERIENCE VACAVILLE-P/S, THE	FACILITY NUMBER: 485407833
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/02/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on six staff (S1-S5 & CD) records reviewed at 11:29am which revealed S2 & S4-S5's records did not contain evidence of completion for AB 1207 Mandated Reporter Training. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/12/2024
	Plan of Correction
1 2 3 4	Center Director stated she would ensure all staff including S2 & S4-S5 complete valid training for AB 1207 Mandated Reporter Training, and the Director intends to submit a copies of staff current & valid certificate to the Department by 08/12/24. Email: melchisedeck.augustin@dss.ca.gov

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Leslie Lepori

LICENSING EVALUATOR NAME:

Melchisedeck Augustin

LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC809 (FAS) - (06/04)

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