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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566200350
Report Date: 04/05/2021
Date Signed: 04/05/2021 04:36:51 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/19/2021 and conducted by Evaluator Francisco Pedroza
COMPLAINT CONTROL NUMBER: 17-CC-20210219102055
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
566200350
ADMINISTRATOR:SHANNON SUTTONFACILITY TYPE:
850
ADDRESS:85 E. BONITA DR.TELEPHONE:
(805) 526-7846
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:141CENSUS: 52DATE:
04/05/2021
UNANNOUNCEDTIME BEGAN:
02:57 PM
MET WITH:Shannon SuttonTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Neglect/Lack of Supervision - Staff do not provide adequate supervision to day care children.
INVESTIGATION FINDINGS:
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On April 5, 2021 at 3:00 PM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced tele-inspection to conclude a complaint investigation. LPA met with Director Shannon Sutton and explained the nature and the purpose of the inspection. Due to COVID-19 and the Department of Public Health guidelines, a tele-inspection was completed via Facetime. Director provided LPA a tour of the facility inside and out. There were Ratio children in care at the time of the inspection.

Allegation stated staff do not provide adequate supervision to day care children. LPA made two unannounced inspections, reviewed records, interviewed facility staff, and conducted parent interviews. Through the course of the investigation it was identified that children had multiple incidents reports with being hit and scratched by other children while in care between January 12, 2021 through January 19, 2021. Incident reports reviewed during the investigation revealed C1 scratched two children on five separate occasions out of 7 days C1 was in care.

Continued 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 17-CC-20210219102055
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 566200350
VISIT DATE: 04/05/2021
NARRATIVE
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The scratch left two red streaks (2 inches in length) on the face of C2 as verified by LPA via a picture. Facility staff interviewed were aware of these incidents and advised LPA they tried to address the needs of the C1 by redirecting and working with C1. Staff stated other incidents resulted from children retaliating against C1. Based on LPA’s observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.

A closing interview was conducted with Director Sutton. Director was provided and advised of their right to appeal. A copy of this report was reviewed and provided to the Director via email. The delivered receipt confirmation from email will be in lieu of her signature once she received the report. LPA requested a signed copy be provided to Community Care Licensing.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/19/2021 and conducted by Evaluator Francisco Pedroza
COMPLAINT CONTROL NUMBER: 17-CC-20210219102055

FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
566200350
ADMINISTRATOR:SHANNON SUTTONFACILITY TYPE:
850
ADDRESS:85 E. BONITA DR.TELEPHONE:
(805) 526-7846
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:141CENSUS: 52DATE:
04/05/2021
UNANNOUNCEDTIME BEGAN:
02:57 PM
MET WITH:Shannon SuttonTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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9
Personal Rights - Staff do not prevent inappropriate interactions between children in care.
Record Keeping - Staff not following sign in/out procedure.
INVESTIGATION FINDINGS:
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On April 5, 2021 at 3:00 PM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced tele-inspection to conclude a complaint investigation. LPA met with Director Shannon Sutton and explained the nature and the purpose of the inspection. Due to COVID-19 and the Department of Public Health guidelines, a tele-inspection was completed via Facetime. Director provided LPA a tour of the facility inside and out. There were Ratio children in care at the time of the inspection.

Allegation(s) stated staff do not prevent inappropriate interactions between children in care and staff not following sign in/out procedure. Through the course of the investigation and interview with the Reporting Party (RP), it was clarified that inappropriate interactions were regarding lack of adequate supervision resulting in children hitting and scratching one another while in care which has been Substantiated (see LIC 9099 dated 4/5/2021). RP, parents, or staff interviewed had no other concerns.

Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 17-CC-20210219102055
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 566200350
VISIT DATE: 04/05/2021
NARRATIVE
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LPA conducted record reviews of daily sign in/out logs and parent interviews. LPA did not identify any evidence to prove that the facility was not following sign in/out procedures. Although the allegation(s) 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(s) is UNSUBSTANTIATED.

A closing interview was conducted with Director Sutton. Director was provided and advised of their right to appeal. A copy of this report was reviewed and provided to the Director via email. The delivered receipt confirmation from email will be in lieu of her signature once she received the report. LPA requested a signed copy be provided to Community Care Licensing.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 17-CC-20210219102055
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 566200350
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/05/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/16/2021
Section Cited
CCR
101229(a)
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101229 Responsibility for providing Care and Supervision
(a) The licensee shall provide care and supervision ... meet the children's needs.
This requirement was not met evidence by:
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Facility director will submit a written plan of correction stating measures of how they will continue to prevent or decrease children attacking other children physical incidents by 04/16/2021 via fax (805) 685-1820, mail, or email to francisco.pedroza@dss.ca.gov.
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Based on LPA's observations and interviews. The center failed to meet its responsibility for providing care and supervision when C1 repeatedly attacked children physically and was also attacked by others in retaliation resulting in multiple incidents and injuries while in care. This poses a potential Health and Safety risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5