197401075-3-20-2023-12-CC-CHEH-CQ4USG-20230320155015

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197401075
Report Date: 03/20/2023
Date Signed: 03/20/2023 03:50:30 PM

Document Has Been Signed on 03/20/2023 03:50 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	LA PETITE ACADEMY INC.		FACILITY NUMBER:	197401075
ADMINISTRATOR:	JEANA COURSON		FACILITY TYPE:	840
ADDRESS:	1709 E. PALMDALE BLVD.		TELEPHONE:	(661) 272-3708
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93550
CAPACITY:	42	CENSUS: 14	DATE:	03/20/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Jeana Courson		TIME COMPLETED:	02:05 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 3/20/2023, Licensing Program Analyst (LPA) Carol Heath met with the facility Director, Jeana Courson, and conducted a Random/Annual inspection for the School-Age program. LPA toured and inspected the facility in accordance with the facility sketch. During today’s inspection, there are 14 school age children present (Spring Break). There is one school-age classroom. The facility operates from Mon. - Fri., 6:30 am to 6:00 pm. Incidental Medical Services (IMS) were discussed. Physical Plant: LPA toured and inspected the preschool classrooms. Furniture and equipment were inspected for age appropriateness and good repair. The room was observed to be clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies with the children's photos and names on them for personal belongings. LPA observed age-appropriate toys, equipment, and materials. Drinking water is available inside the classroom in the form of a water dispenser and disposable cups. The trash can has a lid. There are 2 clean bathrooms. Toilets (4) and sinks (3) are functioning properly and are age appropriate. LPA observed soap, toilet paper, and paper towels readily available. The water temperature was tested and is appropriate. The facility has a surveillance system on the premises that covers each classroom and outside play area. The fire extinguisher, smoke detector, and carbon monoxide detector were observed to be the operable condition. A large emergency bin was observed inside the classroom. An emergency backpack is located beside the door.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol Heath	TELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LA PETITE ACADEMY INC.	FACILITY NUMBER: 197401075
	VISIT DATE: 03/20/2023

NARRATIVE

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The outdoor play equipment was inspected for health, safety, cushioning material, good repair, and age appropriateness. The school-age children use the playground located in the right back corner of the center. Large play equipment and a stage structure are securely anchored. The area was observed to be free of debris. There is an area for shade and rest. The Center provides drinking water in the form of drinking fountains. The play area was inspected for hazards and inaccessibility to bodies of water. LPA observed several gardens in school age playground.
LPA observed a first aid kit with full required materials and supplies with a First Aid Kit menu in the office, fire extinguishers, and carbon monoxide detectors throughout the center. There is a Fire Drill/Earthquake log posted in the office and a current Roster available.
The parent board was reviewed and has all the required forms posted. Fire/earthquake drills current. Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered only with the parent's written permission. The Director administers medication and documents the dosage, date, and time on a log. Medication is brought and taken home by the parent daily. Medication is properly labeled and stored in its original container. There are currently no children in care with IMS needs. There is a separate area for the isolation and care of ill children in the director's office. There is a mat available for ill children. An isolated toilet and sink are available for ill children in the staff restroom.
Sign in and out sheets were observed (electronic). The Teacher to child ratio was observed and staff names were recorded. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. LPA observed a parent board consisting of licensing-required posting. Fire/earthquake drills current.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol Heath	TELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LA PETITE ACADEMY INC.	FACILITY NUMBER: 197401075
	VISIT DATE: 03/20/2023

NARRATIVE

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Staff Records/ Children Records Children's records and staff records were reviewed. LPA verified there is at least 1 staff person present with current CPR and First Aid Training (exp. 4/5/23). All staff complete the Mandated Reporter training every 2 years. All staff receives Measles, Pertussis, and Influenza vaccination. All staff has required fingerprinting associated with the facility.
LPA observed 5 children's files contained all required licensing documents.
Food Service: There is a clean, fully equipped kitchen with refrigerator, freezer (2), stove, and microwave oven, and door kept closed. The facility provides breakfast and afternoon snacks during regular sessions. During summer months facility serves breakfast, lunch and afternoon snacks. Menus are posted in the office, entrance lobby, and kitchen. Allergy lists are posted in the classroom and the kitchen. LPA observed an appropriate amount of food and snacks. LPA observed an appropriate amount of food and snacks. Cleaning solutions and other chemicals are kept in a cabinet above the sink with the lock-in classroom and the main building's maintenance room. Soaps, detergents, cleaning compounds, or similar substances are stored separately from food supplies. Drinking water is available inside the classrooms in the form of water pitchers and disposable cups. Menus are posted at least one week in advance and made available for review by the parents.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol Heath	TELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LA PETITE ACADEMY INC.	FACILITY NUMBER: 197401075
	VISIT DATE: 03/20/2023

NARRATIVE

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The following general information was discussed during this inspection:

The 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. The Center does not provide IMS at this time.
Mandated Reporter Training Requirements: §1596.8662 - As of January 1, 2018, childcare providers, administrators, or employees who work in a licensed facility shall complete the mandated reporter training provided according to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. Staff was informed that they need to take mandated reporter training.
Immunization Requirements: §1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a daycare center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol Heath	TELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LA PETITE ACADEMY INC.	FACILITY NUMBER: 197401075
	VISIT DATE: 03/20/2023

NARRATIVE

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Fingerprint clearances and transfers: Before working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state-licensed facility to another using form LIC 9184
**Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). In addition; all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of the report documenting a Type A Citation and sign form LIC 9224 acknowledging receipt. Staff is aware of the required forms for children's files and forms that shall be posted after licensure.
**Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed childcare facility are aware of situations that present the greatest danger to children.

**Parent Board contained all documents that are required to be posted according to Title 22 Regulations.

No deficiencies are being cited at this time, the facility complies with Title 22

Exit interview conducted with Director. A copy of this report is discussed and left with the director Jeana Courson.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol Heath	TELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

LIC809 (FAS) - (06/04)

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