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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070215149
Report Date: 01/13/2020
Date Signed: 01/13/2020 11:11:39 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
070215149
ADMINISTRATOR:FARRELL STREETAFACILITY TYPE:
850
ADDRESS:4304 COWELL ROADTELEPHONE:
(925) 676-4416
CITY:CONCORDSTATE: CAZIP CODE:
94518
CAPACITY:97CENSUS: 24DATE:
01/13/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:34 AM
MET WITH:Samantha TrahanTIME COMPLETED:
11:30 AM
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Licensing Program Analyst Caroline Colson met with Samantha Trahan, administrator, for an unannounced case management inspection at 10:34 AM. There are 24 preschool children and 7 staff members including administrator. The purpose of this inspection is to deliver an amended report.

There were no deficiencies cited during this inspection.

Notice of site visit was posted at the time of the inspection and must be posted for 30 days. An exit interview was conducted. Appeal rights were given and discussed. This report must be available for public review for 3 years.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020
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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