485407833-12-10-2024-01-CC-EHTS-DBTVCD-20241210151859

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 485407833
Report Date: 12/10/2024
Date Signed: 12/10/2024 03:19:15 PM

Document Has Been Signed on 12/10/2024 03:19 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: 118	CENSUS: 57	DATE:	12/10/2024
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:45 AM
MET WITH:	Biane Isbeih		TIME VISIT/ INSPECTION COMPLETED:	03:25 PM

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Licensing Program Analyst (LPA) Elpidia Hernandez Torres arrived to the center on 12/10/24 to conduct a case management visit regarding a self reported incident that occurred on 11/12/24. According to report received, on 11/13/24, Child (C1) was left alone with out staff supervision in the ‘middle yard’ for approximately 27 minutes from 04:53PM- 05:20PM. Child was discovered when guardian arrived to the center to pick up them up.

LPA interviewed Center Director and three staff between 09:50AM-12:57PM. Center director reported she had conducted an internal investigation and found that C1 was left in the middle playground during the afternoon recess after the classrooms lined up and came back into their classrooms, when the staff (S4) from C1’s classroom failed to communicate to other staff they were leaving for the day and the child was not on any of the other staff’s roster. Staff interviews corroborated, the preschool classrooms will merge during the afternoon recess when the lead teachers of each classroom communicates how many children they have. Teachers will acknowledge the merge by combining either; classroom rosters of children present through their app or by taking the physical clip board and adding the children to their iPad roster to than conduct name to face checks at each threshold. Since C1 was not added to any staff’s roster when S4 left, none of the staff in the playground knew to look for C1, or ensure C1 was in their line. Guardian then arrived to pick up C1, who was not found in any of the classrooms when guardian walked to the playground with Assistant director and found C1 standing by the gate alone, with no staff outside with them.

Continued on 809-C

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024

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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Document Has Been Signed on 12/10/2024 03:19 PM - It Cannot Be Edited

Created By: Elpidia Hernandez Torres On 12/10/2024 at 02:00 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: 12/10/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/11/2024 Section Cited HSC 1596.99(c)(3)	1 2 3 4 5 6 7	Absence of supervision, including, but not limited to, a child left unattended, and supervision of a child by a person under 18 years of age.	1 2 3 4 5 6 7	The center director reported moving forward the center will continue to have alarms to observe the name to face checks. And conduct individual training with the staff to go over "prevention of lost children".
	8 9 10 11 12 13 14	Based on Self reported UIR and staff interviews C1 was left alone for approximately 27 mins in the playground. This causes an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	Center director agreed to email over a copy of the "prevention of lost children" training to LPA before the end of the day 12/11/2024.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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:

Elpidia Hernandez Torres

LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024

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: 12/10/2024

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Center director reported since that incident, S4 no longer works at the center, and the center director has changed the schedule for out door play time as well as the play grounds assigned to each classroom. There are also set alarms to remind center director to go physically observe the name to face checks being conducted at every threshold, and the center coordinator goes outside after each recess to conduct a sweep of the playground and ensure there are no children left on the playgrounds.

An immediate $500 civil penalty is being assessed for absence of supervision. Exit interview conducted and report was reviewed with the Center Director, Biane Isbeih. The following Health and Safety code 1596.99(c)(3), is being cited on the attached LIC 809D. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in a $100 civil penalty. Appeal Rights were provided.

LPA Elpidia Hernandez Torres informed facility representative that this report dated 12/10/24 document(s) one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA informed the facility representative to provide a copy of this licensing report dated 12/10/24 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024

LIC809 (FAS) - (06/04)

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