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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070215161
Report Date: 08/08/2019
Date Signed: 08/12/2019 10:32:43 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 ACADEMY, INC.FACILITY NUMBER:
070215161
ADMINISTRATOR:TANYA BEASLEYFACILITY TYPE:
840
ADDRESS:3891 LAKESIDE DRIVETELEPHONE:
(510) 222-3070
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY:46CENSUS: 7DATE:
08/08/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Greta DavisTIME COMPLETED:
05:00 PM
NARRATIVE
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A Random/Annual site inspection was conducted by LPA Susan Neeson. Met with Greta Davis, the new Director since May 2019. The visit began at 8 AM. There are 7 school age children present.. All staff associated with the facility are fingerprint clear.

The school age classroom and yard were inspected. Ratios were correct during visit. There are sufficient toys and equipment for children in care. Most equipment is observed to be in good condition. The most recent 2 fire drills were held on July 8, 2019. Bathrooms are clean and require appropriate toilet paper, soap and paper towels. Menus are posted. According to Greta Davis, there are no children enrolled currently receiving prescribed or over the counter medication. Fire extinguisher, smoke detector and carbon monoxide detector were working.

Licensee is reminded that ALL assistants, volunteer and frequent visitors that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov and for day care updates visit www.myccl.gov

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The following documents were issued and discussed: Licensee Rights, Safe Sleep Concepts, Safe and healthy diapering, California Child Passenger Safety Law, fire and earthquake drill information, AB 1207 information. Department Quarterly updates and flu prevention tips.

SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Susan NeesonTELEPHONE: (510)622-2630
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: LA PETITE ACADEMY, INC.
FACILITY NUMBER: 070215161
VISIT DATE: 08/08/2019
NARRATIVE
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The following documents were issued and discussed: Licensee Rights, Safe Sleep Concepts, Safe and healthy diapering, California Child Passenger Safety Law, fire and earthquake drill information, AB 1207 information. Department Quarterly updates and flu prevention tips.

TYPED COPY OF REPORT WAS NOT ISSUED DURING VISIT DUE TO EQUIPMENT MALFUNCTION.

Deficiencies are cited on LIC 809 D. Appeal Rights were discussed.



An exit interview was given
SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Susan NeesonTELEPHONE: (510)622-2630
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 070215161
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/09/2019
Section Cited
CCR
101239.2a1
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Drinking Water(a)Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area. Drinking water was not available in the classroom.

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Greta Davis states that this will be corrected by 8/9/19.

Failure to correct may result in civil penalties being assessed.
Type B
09/09/2019
Section Cited
CCR
101237abc
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Alterations to Existing Buildings or New Facilities(a) Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).
(b) The Department has the authority to require the licensee to obtain a building inspection by a local building inspector if the Department suspects that a hazard to
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Greta Davis states that documents relating to permits for the new room construction will be submitted by 9/9/19. Also, a facility sketch which indicates which areas will be used by the school age children will be submitteed. Other documents relating to capacity will also be submitted.
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children's health and safety exists.
(c) Prior to construction or alterations, state or local law requires that all facilities secure a building permit. This requirement was not met as evidenced by construction of a storage room that has been constucted in the school age area.

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Failure to correct may result in civil panalties being assessed.
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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.
SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Susan NeesonTELEPHONE: (510)622-2630
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
LIC809 (FAS) - (06/04)
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