376600090-11-2-2023-20-CC-CGUA-CXCV5N-20231107150812

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600090
Report Date: 11/02/2023
Date Signed: 11/02/2023 04:54:12 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/21/2023 and conducted by Evaluator Dana Stevens

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20230721164205

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: 57	DATE:	11/02/2023
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Sylvia Cardenas		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff did not report incident involving day care child while in care.

INVESTIGATION FINDINGS:

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On 11/02/2023 at 01:50 PM Licensing Program Analyst (LPA) Dana Stevens, conducted an unannounced inspection for the purpose of delivering complaint findings. Upon arrival, LPA met with Assistant Director Sylvia Cardenas. There were 57 preschoolers present with 8 teachers.

A complaint was recieved on 07/21/2023 with the above allegation. During the course of the investigation LPA interviewed Director, staff, children and daycare parents, conducted two unannounced facility inspections, inspected and photographed playground and reviewed facility records.

During interviews, It was confirmed an incident occurred on 07/19/2023 around 4:45 PM, when Child 1(C1) was riding a tricycle on the playground and ran into a pole, resulting in the child bumping their head. Based on information obtained in staff interviews and records review, facility was in compliance with capacity and ratio requirements at the time, and two staff on the playground witnessed the incident as it occurred but were not able to intervene in time to prevent C1 from hitting the pole. Staff immediately examined C1 and did not observe any obvious sign of injury at that time. C1's parent was verbally informed by C1's teacher at pick up time the day of the incident. C1's parent received a written incident report the following day. Playground equipment was found to be safe, and age appropriate.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Dana Stevens	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 11/02/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 20-CC-20230721164205

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 11/02/2023

NARRATIVE

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Based on conflicting information obtained from interviews, and reviewed documentation, the allegation Staff did not report incident involving day care child while in care, has been determined to be 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 violations occurred.

The Notice of Site Visit (LIC 9213) is to be posted for thirty (30) days. An exit interview was conducted. Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to staff; their signature on this form confirms receipt of these rights.

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Dana Stevens	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 11/02/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2023

LIC9099 (FAS) - (06/04)

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