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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364809116
Report Date: 05/31/2019
Date Signed: 05/31/2019 02:28:00 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/07/2019 and conducted by Evaluator Jazelle Neal
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20190307160419
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
364809116
ADMINISTRATOR:DORIS BIERFACILITY TYPE:
830
ADDRESS:14040 BEAR VALLEY ROADTELEPHONE:
(760) 241-4748
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:8CENSUS: 2DATE:
05/31/2019
UNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Naomi LopezTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Allegation #1: Personal Rights - Daycare child sustained unexplained injury while in care.
Allegation #2: License - Facility is operating out of ratio.
Allegation #3: Personal Rights - Facility staff engaged in verbal confrontation with parent in front of daycare children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Neal met with Naomi Lopez and conducted a follow-up complaint inspection for the purpose of delivering findings for the above allegations at the infant center. During this investigation, LPA Neal conducted interviews with parties involved and parents. There were 2 infants present during this inspection.
Allegation #1: LPA Neal obtained pictures of minor scratches, statements and documentation of facility's internal incident reports (observed signed), allegation was deemed unsubstantiated.
Allegation #2: LPA Neal conducted 3 unannounced inspections and observed facility ratio, obtained attendance log of children present and obtained a week's sample of employee's attendance log.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle NealTELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019
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 2
Control Number 12-CC-20190307160419
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 364809116
VISIT DATE: 05/31/2019
NARRATIVE
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Allegation #3: LPA Neal obtained statements from parties involved, it was determined that verbal confrontation between parents and staff took place in the front lobby, not in the presence of children.
Based on information obtained, allegations are deemed unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged occurred.
Notice of Site Visit was given to be posted for 30 days.
Exit interview was conducted and a copy of this report was given to the assistant director.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle NealTELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2