197401086-12-3-2019-12-CC-LKIG-BJJ2ZL-20191203165030

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197401086
Report Date: 12/03/2019
Date Signed: 12/03/2019 04:50:40 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	LA PETITE ACADEMY INC.		FACILITY NUMBER:	197401086
ADMINISTRATOR:	WARD, AIMEE		FACILITY TYPE:	840
ADDRESS:	43714 CHALLENGER WAY		TELEPHONE:	(661) 945-1800
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93535
CAPACITY:	44	CENSUS: 18	DATE:	12/03/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Aimee Ward		TIME COMPLETED:	02:30 PM

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Licensing Program Analyst (LPA) King met with the facility Director Aimee Ward, for the purpose of conducting a Random Annual Inspection for the school age license. During the inspection LPA observed the school age classroom with a total of 18 children and 2 staff. The center operates Monday through Friday from 6:30 AM - 6:30 PM.

Furniture and equipment were inspected for age appropriateness and good repair. All rooms are clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms in the form of water faucet and pitcher . There are fire extinguishers, smoke detector and a carbon monoxide detector on the premises. There are First Aid Kit.

LPA inspected and observed clean bathrooms, with separate stalls for privacy. A total of 4 toilets and 3 sinks. LPA observed one separate bathroom for staff. Toilets and sinks are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available.

Wellness Policy: Children are inspected for illnesses as they arrive at front entrance and in classroom with teachers. There is a separate area to isolation ill children in the front office area with director or assistance.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Lady King	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: LA PETITE ACADEMY INC.	FACILITY NUMBER: 197401086
	VISIT DATE: 12/03/2019

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Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. The play area has foam cushioning material, grass, artificial grass and concrete. Outdoors Play structure and toys are in good repair. The area was observed to be free of debris. There is an area for shade and rest. Operable water fountains are available for outside play as well as pitchers of water and cups when needed. Play area was inspected and found to be free of hazards. No bodies of water on premises.

There is a clean fully equipped kitchen (off limits) with refrigerator/freezer, stove, sink and microwave oven. The facility provides breakfast, lunch and one snacks. Allergy lists are posted in the kitchen area and in every classroom in a binder. The chemicals are kept separate from the food.

The center uses an electronic Sign in and out system. The parent board was reviewed and has all of the required forms posted. Facility Menu is posted. Fire/earthquake drills current. Roster current.

Teacher child ratios were observed and appropriate. Care and supervision was evaluated to determine if the basic needs of children are met.

Children's records and staff records were reviewed. Staff are certified in Pediatric CPR/ First Aid expire 10/22/2021.

Unusual Incident reporting requirements were discussed, call within 24 hours and submit the form, LIC 624B, within 7 days.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Lady King	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: LA PETITE ACADEMY INC.	FACILITY NUMBER: 197401086
	VISIT DATE: 12/03/2019

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Additional forms and a copy of Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov.

--Director was informed of responsibility to report suspected Child Abuse, 1-800-827-8724

--Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.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.html

No deficiencies cited according to Title 22 Regulations.

An Exit Interview conducted and a copy of report read and provided to Director as well as the Notice of Site Visit.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Lady King	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019

LIC809 (FAS) - (06/04)

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