<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600090
Report Date: 06/24/2021
Date Signed: 06/24/2021 11:21:09 AM

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: 76DATE:
06/24/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:38 AM
MET WITH:Kristen CobbTIME COMPLETED:
10:05 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On June 24, 2021 at 9:38 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a case management inspection to amend the prior 06/23/2021 LIC 809D report. LPA advised Director Cobb of the meeting’s purpose.

There were sixty-eight (68) toddlers/preschoolers (2 years to 5 years) supervised by sixteen (16) teachers and two (2) staff members. There were eight (8) school aged children supervised by one (1) teacher.

The LIC 809D report, dated 06/23/2021, reflected the facility was cited on CCR 101212(d)(1)(c)(f) – Reporting Requirements, however the specific code should have been CCR 101212(f). At this meeting, both the prior and correct LIC 809D reports were reviewed by staff and LPA. Staff signed the corrected LIC 809D report and was provided with the signed amended LIC 809D report.

The Notice of Site Visit (LIC 9213) is to be posted for thirty (30) days. This notice was provided to staff. An exit interview was conducted with staff. 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: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1