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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600085
Report Date: 04/06/2022
Date Signed: 04/06/2022 11:30:38 AM


Document Has Been Signed on 04/06/2022 11:30 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
376600085
ADMINISTRATOR:JAMIE GROLLFACILITY TYPE:
830
ADDRESS:12668 SABRE SPRINGS PARKWAYTELEPHONE:
(858) 486-7197
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY:24CENSUS: 10DATE:
04/06/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Nanissa Madadi/Acting DirectorTIME COMPLETED:
11:35 AM
NARRATIVE
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On 04/06/22 at approximately 10:05am, Licensing Program Analysts (LPAs) Selina Siao and Saraliz Velando conducted an unannounced case management inspection. LPAs was met at the entry point by Maria Ruvalcaba. LPAs introduced herself, displayed her department identifications and explained the purpose of the visit. The purpose of this visit was to review California Department of Public Health (CDPH) Guidelines regarding Covid-19. LPAs was later met by Acting Director Nanissa Madadi who provided a tour of the infant program. LPAs observed the facility was within ratio & capacity.

The classrooms were toured to ensure adequate social distancing and hand-washing stations. LPAs observed sufficient and current resources on hand. Covid-19-related safety and informational posters are visibly posted for parents, children and staff. Per the director, facility staff, parents and children are routinely reminded of proper procedures to ensure safety.

Following the tour, LPAs discussed with Director, Nanissa Madadi, current COVID-19 guidance including but not limited to masking, vaccines, food service, visitors, isolation for illness, and responding to Positives and Outbreaks. Director is aware that mask use is strongly recommended. LPA provided the director with COVID-19 printouts of CDPH guidance and the weblink to the current guidance https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Child-Care-Guidance.aspx). LPAs also discussed and provided the Director with printouts of Provider Information Notices (PIN) 22-08-CCP, 22-01.1-CCLD, and 22-10-CCP related to current COVID-19 guidance.

When asked, the Director outlined the COVID-19 protocols that have been implemented by following the San Diego County Public Health guidance at the center.

No deficiencies were cited during this inspection.

Exit interview conducted and report was reviewed with the Director Nanissa Madadi. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/06/2022
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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