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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600674
Report Date: 02/14/2020
Date Signed: 02/14/2020 01:48:07 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/06/2020 and conducted by Evaluator Otsanya Cameron
COMPLAINT CONTROL NUMBER: 10-CC-20200206153159
FACILITY NAME:LA PETITE ACADEMY-INFANTFACILITY NUMBER:
376600674
ADMINISTRATOR:SUSANNA RODRIGUEZFACILITY TYPE:
830
ADDRESS:4179 AVENIDA DE LA PLATATELEPHONE:
(760) 941-5406
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY:12CENSUS: 7DATE:
02/14/2020
UNANNOUNCEDTIME BEGAN:
01:04 PM
MET WITH:Susie RodriguezTIME COMPLETED:
02:05 PM
ALLEGATION(S):
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Day-care child sustained unexplained scratches on arm
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Otsanya Cameron conducted an unannounced complaint inspection for the purpose of delivering the findings for the above allegations. Upon arrival, LPA met with Director Suze Rodriguez, toured the facility and took census. The following was discussed with Director Rodriguez:
The allegations state a child in care received unexplained scratches on arm.

During the course of the investigation, LPA reviewed the Incident/Accident procedures, as well as incident/accident reports for children in infant program. LPA’s obtained staff/child records, timesheets and enrollment records. Interviews were also held with facility staff.

The department has investigated the complaint alleging a day care child sustained unexplained scratches and found it to be Unsubstantiated: “Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation/s did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was provided to Center Director Susie Rodriguez, and a Notice of Site Visit was posted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2020
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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