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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070215161
Report Date: 07/17/2023
Date Signed: 07/17/2023 04:38:41 PM


Document Has Been Signed on 07/17/2023 04:38 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:LA PETITE ACADEMY, INC.FACILITY NUMBER:
070215161
ADMINISTRATOR:DAVIS, GRETAFACILITY TYPE:
840
ADDRESS:3891 LAKESIDE DRIVETELEPHONE:
(510) 222-3070
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY:28CENSUS: 8DATE:
07/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:03 PM
MET WITH:Greta DavisTIME COMPLETED:
04:42 PM
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On July 17, 2023 at 1:03pm, Licensing Program Analyst (LPA) Indira Loza met with Directer Greta Davis for the purpose of conducting an annual inspection. There were 8 school-age children and one staff. The facility was toured for a health and safety check. This facility has three components in the same building. The hours of operation are 6:30am-6pm Monday through Friday.

CLASSROOMS: The school age component operates out one large classroom in the back of the building which was inspected. There were play and learning materials available for the children. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting. Drinking water is available inside and outside of the center, cups are provided by the school. There is proper individual storage space for each child. The center has a smoke detector, a carbon monoxide detector, working telephone, pull down fire alarm system.
FOOD SERVICE AREAS: This facility provides breakfast, lunch, and one snack for the children. LPA observed the food preparation areas to be clean, and free from access to harmful substances.
OUTDOOR PLAY AREAS: LPA observed an anchored play structure with cushioning to absorb falls. There were plenty of age appropriate activities and plenty of shade for the children in care.
BATHROOMS AND TOILETING AREAS: This facility has a separate bathroom for the children and the staff. The sinks and faucets are in safe and sanitary operating condition. The children can reach the sinks and toilets. There were supplies available to the children. The Director's office is the isolation area.
RECORDS: All individuals subject to criminal record review have a clearance or exemption. Mandated Reporter Training and CPR training certificate was current for staff. All required documents are posted in a public accessible area. The last fire drill was conducted on June 29, 2023. LPA observed multiple 3A40BC fire extinguishers throughout the facility.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs)
******************************Report Continues on LIC 809-C*************************
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 07/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/17/2023
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: 07/17/2023
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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. LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. PIN 22-05-CCP Page Four. CCC has completed testing and remediated a drinking fountain with an exceedance. LPA referred Director Betts to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) 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/.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director Greta Davis.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2023
LIC809 (FAS) - (06/04)
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