313608509-6-26-2019-03-CC-JMCN-BDHJMN-20190626071033

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313608509
Report Date: 06/25/2019
Date Signed: 06/26/2019 07:11:23 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	LA PETITE ACADEMY		FACILITY NUMBER:	313608509
ADMINISTRATOR:	BOYCE, NICOLE		FACILITY TYPE:	830
ADDRESS:	5820 STANFORD RANCH ROAD		TELEPHONE:	(916) 624-4816
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95765
CAPACITY:	24	CENSUS: 14	DATE:	06/25/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Nicole Mays		TIME COMPLETED:	03:00 PM

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Licensing Program Analyst (LPA) Jeremey McClain met Director Nicole Mays for an annual random inspection. LPA observed 14 infants supervised by four staff members in two separate areas.

LPA toured the building including all activity and classroom spaces, restrooms, food service, and outdoor play areas. Medications are stored in an area that is inaccessible to children in care. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. Infant changing tables have a padded surface that is washable and at least one-inch-thick, and the changing tables have raised sides that are at least three inches high. The floors appeared clean throughout the facility. The food preparation space is free of litter and all food was protected against contamination. Storage containers with solid waste have tight-fitting covers. Program provides breakfast, lunch, and snack which is served through the school district. Infant bottles were labeled with children’s names and dated. Menus were posted and drinking water was readily available to children both indoors and outdoors. The facility currently utilizes an electronic sign in and sign out sheet.

Staff and children's records were reviewed. Each child's file contained an emergency card, a medical assessment, and Infant Needs and Services Plan. LPA reminded the Director that Infant Needs and Services Plans should be updated quarterly. At least one staff member present today has current Pediatric CPR and First Aid certification. All staff currently employed with the facility have a criminal record clearance, health screening report, AB1207 Mandated Reporter training certificates, and documentation of the educational background, training, and/or experience. LPA observed functional smoke and carbon monoxide detectors. REPORT CONTINUED ON THE FOLLOWING PAGE...

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: LA PETITE ACADEMY	FACILITY NUMBER: 313608509
	VISIT DATE: 06/25/2019

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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.htm.

Director was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers

No Deficiencies were observed during today's inspection.

This facility evaluation report was reviewed and discussed with Director and a Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. LPA provided Director with Appeal Rights as well.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019

LIC809 (FAS) - (06/04)

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