070215151-8-29-2023-02-CC-LDYN-CVS5PV-20230917200832

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 070215151
Report Date: 08/29/2023
Date Signed: 08/29/2023 04:11:56 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/23/2023 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20230823120742

FACILITY NAME:	LA PETITE ACADEMY, INC.		FACILITY NUMBER:	070215151
ADMINISTRATOR:	TRAHAN, SAMANTHA		FACILITY TYPE:	840
ADDRESS:	4304 COWELL ROAD		TELEPHONE:	(925) 676-4416
CITY:	CONCORD	STATE: CA	ZIP CODE:	94518
CAPACITY:	30	CENSUS: 5	DATE:	08/29/2023
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	CLAUDIA ARROSPIDE		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Supervision- Children are not adequately supervised by staff

INVESTIGATION FINDINGS:

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Licensing Program Analyst Tasha Alexander met with center director Claudia Arrospide and assistant director Melissa Keen to discuss the above complaint allegation.

Upon arrival there are 5 school age children present along with 1 school age staff. Today an interview was conducted with both director, assistant director and the staff member on the playground at the time of the incident. Relevent documents were also received today.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED. California Code of Regulations,Title 22, Division 12 & Chapter 1, are being cited on the attached LIC. 9099D.”

An exit interview was conducted
A notice of site visit was posted

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 02-CC-20230823120742

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: LA PETITE ACADEMY, INC.	FACILITY NUMBER: 070215151
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/29/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/12/2023 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY: INTERVIEWS AND A REVIEW OF RECORS	1 2 3 4 5 6 7	THE CHILD HAS BEEN TERMINATED FROM CARE. LICENSEE WILL SUBMIT A WRITTEN PLAN OF ACTION DETAILING STEPS STAFF WILL TAKE TO ENSURE VISUAL SUPERVISION AT ALL TIMES BY 9/12/23
	8 9 10 11 12 13 14	WHICH REVEALED THAT A CHILD IN CARE WAS HIT BY ANOTHER CHILD IN CARE AND THE INCIDENT WAS NOT WITNESSED BY STAFF.	8 9 10 11 12 13 14
	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: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023

LIC9099 (FAS) - (06/04)

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