<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343600857
Report Date: 08/04/2021
Date Signed: 08/04/2021 12:33:54 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/30/2021 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210730144810
FACILITY NAME:LA PETITE ACADEMY - FOLSOMFACILITY NUMBER:
343600857
ADMINISTRATOR:PADILLA, CHRISFACILITY TYPE:
840
ADDRESS:410 GLENN DRIVETELEPHONE:
(916) 983-6137
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:19CENSUS: 14DATE:
08/04/2021
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Chris PadillaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Children are not required to wear face mask
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On August 4th, 2021 at approximately 11:45 am, Licensing Program Analyst (LPA) Jeremey McClain met with Director Chris Padilla to conduct a complaint investigation. Upon arrival, LPA observed 14 school age children supervised by 1 teacher. It was alleged that the facility is not requiring children to wear face masks. LPA conducted an interview with the director and observed that children present today were not wearing face masks. LPA determined the allegation was substantiated based on the evidence gathered during today’s inspection.

Based on the findings, a technical violation was issued. An exit interview was conducted, and a Notice of Site Visit was provided and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2021
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 1