364801080-9-10-2025-09-CC-ANOE-DMGQSX-20251015122613

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364801080
Report Date: 09/10/2025
Date Signed: 09/10/2025 03:40:45 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/05/2025 and conducted by Evaluator Laura Mejorado

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20250905095001

FACILITY NAME:	LA PETITE ACADEMY		FACILITY NUMBER:	364801080
ADMINISTRATOR:	DEBRA RIVAS		FACILITY TYPE:	850
ADDRESS:	620 BASELINE		TELEPHONE:	(909) 874-5113
CITY:	RIALTO	STATE: CA	ZIP CODE:	92376
CAPACITY:	68	CENSUS: 35	DATE:	09/10/2025
		UNANNOUNCED	TIME BEGAN:	09:52 AM
MET WITH:	Debra Rivas, Director		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Personal Rights - staff did not assist day care child with diapering needs in a timely manner, resulting in a diaper rash

INVESTIGATION FINDINGS:

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On this date and time, Licensing Program Analyst (LPA) Laura Mejorado arrived at the facility to conduct a complaint investigation regarding the above allegation. LPA met with Director Debra Rivas, toured the facility, took census, and discussed the following.

During the investigation, LPA made observations, reviewed pertinent documentation, and conducted interviews with pertinent parties. It was alleged, staff did not assist day care child with diapering needs in a timely manner, resulting in a diaper rash. LPA investigated the allegation and gathered the following information:

Please see LIC9099C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20250905095001

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: LA PETITE ACADEMY	FACILITY NUMBER: 364801080
	VISIT DATE: 09/10/2025

NARRATIVE

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It was reported, on multiple occasions, a child has been left in a soiled diaper during their time at the facility resulting in diaper rashes. It was reported; the child has gone home in the same diaper they were dropped off in. Facility policy is to check diapers every hour and document diaper changes on the facility app. While conducting interviews it was disclosed there were incidents of a child being left in the same diaper or not receiving a diaper change brought to the facilities attention. The facility then implemented a new documentation policy for diapers, however, since implementing the new policy another incident occurred. Interviews disclosed that the most recent incident occurred on 9/4/25, staff were unsure if the child had received a diaper change and stated while not intentional, they may have forgotten. While reviewing records, a diaper change was not document for the child in the facility app for 9/4/25.

Based on LPA observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1), are being cited on the attached LIC9099D.

LPA Mejorado informed facility representative Debra Rivas that this report dated 9/10/25 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Also, LPA Mejorado informed facility representative Debra Rivas to provide a copy of this licensing report dated 9/10/25 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the facility representative Debra Rivas.

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 09-CC-20250905095001

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: LA PETITE ACADEMY	FACILITY NUMBER: 364801080
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/10/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/11/2025 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	(a) The licensee shall ensure that each child is accorded the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	The facility agrees to conduct in-service training on personal rights and the facility diapering policy. Additionally, the facility agrees to submit a detailed plan on what steps will be taken to prevent any other future incidents.
	8 9 10 11 12 13 14	Based on records review and interviews, on multiple occasions a daycare child was left in a soiled diaper, which poses an immediate health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14	The facility agrees to submit training agenda, participant list, and detailed plan to CCL by 9/11/25.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025

LIC9099 (FAS) - (06/04)

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