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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364801080
Report Date: 02/08/2023
Date Signed: 02/09/2023 09:22:24 AM


Document Has Been Signed on 02/09/2023 09:22 AM - 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
364801080
ADMINISTRATOR:ARACELI QUACHFACILITY TYPE:
850
ADDRESS:620 BASELINETELEPHONE:
(909) 874-5113
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY:68CENSUS: 51DATE:
02/08/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Araceli QuachTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Laura Mejorado arrived at the facility to conduct a case management visit in response to the receipt of an unusual incident report (UIR). The UIR was received by the Riverside Child Care Regional office, on 02/06/23. The UIR documented an incident concerning a child's personal rights.

Upon arrival, LPA met with Director and stated the purpose of the visit. The UIR documented a parents concern regarding something they saw on the classroom camera. Parent alleged that on 02/02/23 a teacher yelled at their child. The facility conduct an investigation and reviewed the camera footage and did not observe any staff yelling at the subject child. On 02/08/23 both parents were called in to review the camera footage with facility staff, during the meeting the subject parent stated they did not make any allegations. LPA reviewed the camera footage and interviewed staff, LPA did not observe staff yelling and during interviews their was no disclosures of staff yelling. The subject child was not present at the time of the visit.

Based on the information gathered and compiled during this visit no citations were issued at this time.

Exit interview conducted and report was reviewed with Director.

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

A copy of this report must be made available to the public, at the facility site, for 3 years.

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura MejoradoTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2023
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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