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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600090
Report Date: 09/20/2023
Date Signed: 09/20/2023 04:27:21 PM


Document Has Been Signed on 09/20/2023 04:27 PM - 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 ACADEMY, INC.FACILITY NUMBER:
376600090
ADMINISTRATOR:KRISTEN COBBFACILITY TYPE:
850
ADDRESS:795 CORRAL CANYON ROADTELEPHONE:
(619) 421-5238
CITY:BONITASTATE: CAZIP CODE:
91902
CAPACITY:110CENSUS: 72DATE:
09/20/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Kristen CobbTIME COMPLETED:
03:30 PM
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On 09/20/2023 at 2:50 PM LPA Dana Stevens conducted an unannounced Case Management inspection for the purpose of following up on an unusual incident that occurred on 07/06/2023 and was reported by Director on 07/07/2023. LPA Stevens met with Director, Kristen Cobb. 72 children were present with 10 staff at the time of this inspection.
.
LPA interviewed Director and preschool children.

Due to insufficient information at this time this incident requires further investigation.

Exit interview conducted and copy of this report left with Director. Notice of site visit must be posted for 30 days.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Dana StevensTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2023
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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