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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343600872
Report Date: 10/25/2022
Date Signed: 10/25/2022 03:14:10 PM


Document Has Been Signed on 10/25/2022 03:14 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:LA PETITE ACADEMY - CITRUS HEIGHTSFACILITY NUMBER:
343600872
ADMINISTRATOR:JENKINS, JULIEFACILITY TYPE:
840
ADDRESS:8008 OLD AUBURN ROADTELEPHONE:
(916) 723-3094
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:45CENSUS: 12DATE:
10/25/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Julie JenkinsTIME COMPLETED:
03:30 PM
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At 2:15 p.m. on Tuesday October 25th, 2022, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Julie Jenkins, for the purpose of a case management inspection. LPA observed a census of 12 children and 1 staff.

During today’s inspection, LPA followed up regarding water sampling that indicated an Action Level Exceedance (ALE) for a water faucet that was tested for lead levels. Faucet O was in lead level exceedance, greater than 5.5 ppb. Director stated that faucet O is an outdoor drinking fountain. Corrective action was taken to cap all outdoor fountains. LPA observed a water jug outdoors with cups and children's water bottles. Outdoor fountains were observed to be inoperable.

LPA informed the Director that Grant funding for testing and remediation is available referenced from Provider Information Notice (PIN) 21-04-CCP.

An exit interview was conducted and this report was reviewed with the Director, Julie Jenkins. A Notice of Site Visit was provided and shall remain posted for 30 days.

SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2022
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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