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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197409418
Report Date: 07/28/2023
Date Signed: 07/28/2023 05:11:44 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/23/2023 and conducted by Evaluator Evelyn Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20230623113555
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
197409418
ADMINISTRATOR:ASHLEY PEREZFACILITY TYPE:
830
ADDRESS:28041 SECO CANYON ROADTELEPHONE:
(661) 297-0977
CITY:SAUGUSSTATE: CAZIP CODE:
91350
CAPACITY:16CENSUS: 9DATE:
07/28/2023
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Maria Goldman, Director TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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9
Allegation #1 - Qualifications: Staff are supervising children without the required qualifications

Allegation #2 - Ratio: One teacher supervises 5 to 6 infants
INVESTIGATION FINDINGS:
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On 07/28/23, at 11:15 PM, Licensing Program Analysts(LPA) Evelyn Garcia and Licensing Program Manager (LPM) Mariela Ramon conducted a subsequent complaint investigation inspection. Upon arrival, LPA and LPM met with director who guided LPA and LPM with a tour of the facility. LPA and LPM observed 9 infants with 2 fully qualified teachers and 1 assistant providing care and supervision.

The investigation consisted of interviews with the facility director, teachers in the infant room, review of sign in and out sheet for staff and infants for the week of 07/17/23 to 07/21/23 and LPA and LPM observations during an inspection conducted on 06/23/23. The investigation revealed the following evidence:
Allegation #1: The investigation revealed staff providing care and supervision in the infant classrooms have the required Early Childhood Education including 3 units related to infant care and development.
Allegation #2: A review of sign in and out of staff and infants revealed, there were qualified teachers providing care and supervision to the infants in care. See Complaint Investigation LIC9099 for additional information.

.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Evelyn GarciaTELEPHONE: (661) 202-3785
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 12-CC-20230623113555
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 197409418
VISIT DATE: 07/28/2023
NARRATIVE
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Based on the evidence obtained, the allegations of staff are supervising children without the required qualifications and one teacher supervises 5 to 6 infant are deemed to be unsubstantiated.

An exit interview was conducted, a copy of this report and a notice of site visit report was provided to the facility director
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Evelyn GarciaTELEPHONE: (661) 202-3785
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2