070215161-8-12-2019-02-CC-ARON-BG3TCB-20190916143628

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 070215161
Report Date: 08/08/2019
Date Signed: 08/12/2019 10:43:12 AM

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
07/29/2019 and conducted by Evaluator Susan Neeson

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20190729090229

FACILITY NAME:	LA PETITE ACADEMY, INC.		FACILITY NUMBER:	070215161
ADMINISTRATOR:	TANYA BEASLEY		FACILITY TYPE:	840
ADDRESS:	3891 LAKESIDE DRIVE		TELEPHONE:	(510) 222-3070
CITY:	RICHMOND	STATE: CA	ZIP CODE:	94806
CAPACITY:	46	CENSUS: 10	DATE:	08/08/2019
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Greta Davis		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility failed to provide adequate supervision resulting in a child being bullied.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Susan Neeson conducted an unannounced complaint investigation site inspection for this facility on 8/8/19 at 0800. LPA met with Director Greta Davis. Also present were 10 school age children and one staff. Interviews were conducted and relevant information obtained. Based on the investigative findings, although the allegation may have happened or be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

There were no deficiencies cited as a result of this inspection. The facility director was provided a copy of the appeal rights. An exit interview was conducted and a copy of the complaint investigation report provided.

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

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Susan Neeson	TELEPHONE: (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.

LIC9099 (FAS) - (06/04)

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