376600090-4-29-2021-20-CC-RGOU-C2JU8S-20210429152200

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376600090
Report Date: 04/29/2021
Date Signed: 04/29/2021 03:22:19 PM

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 ACADEMY, INC.		FACILITY NUMBER:	376600090
ADMINISTRATOR:	KRISTEN COBB		FACILITY TYPE:	850
ADDRESS:	795 CORRAL CANYON ROAD		TELEPHONE:	(619) 421-5238
CITY:	BONITA	STATE: CA	ZIP CODE:	91902
CAPACITY:	110	CENSUS: 90	DATE:	04/29/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Kristen Cobb		TIME COMPLETED:	01:40 PM

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On 04/29/21 at 1:00 p.m., Licensing Program Analyst (LPA), Rajani Goudreau conducted a virtual inspection with Director, Kristen Cobb in order to provide technical assistance. During the visit there were 90 children in care with 11 staff members. The facility is within Ratio/Capacity limitations. Due to COVID-19 State of emergency a Temporary Capacity waiver was granted on April 14,2021 for the facility to care for 24 school age children; ages 5 through 12 years old at the above address. The facility operates Monday through Friday from 6:30 a.m. to 6:30 p.m.

The fire clearance on file was granted on April 12, 2021 for 134 children, including the 24 school age.

Drop off and pick up will take place near the front of the facility. Children will be signed in and out by their authorized representative at time of drop off and pick up. Health checks of staff and children will take place at time of arrival and throughout the day, if needed. The isolation area is located in the directors’ office and the isolation restroom is located in the hallway of facility, if a child becomes ill while in care. Children's authorized representatives will be contacted immediately for pick up, if a child becomes ill. The Department of Public Health shall be contacted regarding any COVID-19 illness or exposure.

Children shall remain in groups as small as possible. Should the State cohort guidance differ from local health ordinances, the facility shall follow the stricter guidance. Age appropriate furniture including tables and chairs and are present in classroom #7 to meet the needs of the children in care. Meals will be provided by the facility. Drinking water will be available during indoor and outdoor activities by the use of refillable water jugs and disposable cups. There are two sinks available for the children’s use located in the classroom. Children will utilize the restroom located in the classroom containing one sink and one toilet.

The designed outdoor play area adjacent to the classroom, including a large fenced playground area. The outdoor space contains a canopy for shade. The facility will maintain children’s file including emergency authorization cards and waiver acknowledgement forms signed by the children’s authorized representatives. Also, the facility will maintain staff files including criminal background clearance information. See LIC809-C continuation page...

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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 ACADEMY, INC.	FACILITY NUMBER: 376600090
	VISIT DATE: 04/29/2021

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LPA informed facility representative, there shall be at least one on-site staff member with a current Pediatric

First Aid and CPR certificate during the hours of the program operation. All childcare areas, including the outdoor play area will be cleaned and sanitized daily and as often as necessary following the facility’s cleaning and sanitation policies.

LPA discussed the terms and conditions of the waiver. The director acknowledges understanding of the terms and conditions of the temporary waiver and will adhere to the Public Health guidelines and directives.

Community Care Licensing will provide on-going technical support (TA) to the facility. Please feel free to contact the San Diego Child Care Office at (619) 767-2248.

No deficiencies issued during today’s visit. LPA conducted an exit interview with the director. The following was discussed and will be provided to the director: LIC809, Appeal Rights and Notice of Site Visit. The Notice of Site Visit shall be posted for 30-days from today’s date. COVID-19 State of emergency read receipt notification will be used in place of the directors signature.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2021

LIC809 (FAS) - (06/04)

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