566200350-6-15-2021-17-CC-GMIE-C482B7-20210621171440

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566200350
Report Date: 06/15/2021
Date Signed: 06/15/2021 05:02:03 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
04/08/2021 and conducted by Evaluator Francisco Pedroza

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20210408162926

FACILITY NAME:	LA PETITE ACADEMY		FACILITY NUMBER:	566200350
ADMINISTRATOR:	SHANNON SUTTON		FACILITY TYPE:	850
ADDRESS:	85 E. BONITA DR.		TELEPHONE:	(805) 526-7846
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93065
CAPACITY:	141	CENSUS: 45	DATE:	06/15/2021
		UNANNOUNCED	TIME BEGAN:	03:31 PM
MET WITH:	Shannon Sutton		TIME COMPLETED:	05:10 PM

ALLEGATION(S):

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Neglect/Lack of Supervision-Lack of supervision resulting in a day-care child biting another child in care.
Personal Rights-Staff left child in soiled clothing for a long period of time.

INVESTIGATION FINDINGS:

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On June 15, 2021 at 3:31 PM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced inspection to conclude a complaint investigation. LPA met with facility Director Shannon Sutton and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There was 45 children in care at the time of the inspection.

Allegation(s) stated staff did not adequately supervise children in care resulting in children biting another child and staff left a child in soiled clothing for a long period of time. LPA conducted two unannounced inspections touring the facility inside and out during each inspection. During the course of the investigation, LPA reviewed facility incident reports. LPA conducted staff interviews. Staff denied both allegation(s) during interviews. Staff provided LPA with day-to-day operations of how they report incidents and periodically check children to see if they need to be changed.

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2021

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 17-CC-20210408162926

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: 06/15/2021

NARRATIVE

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Staff advised children will have incidents learning how to develop communication skills. Staff will redirect children as needed. When an incident occurs they create a written incident report to advise parents if needed. Staff advised accidents are expected to happen when bathroom training. They will address the child's needs by taking them to the restroom and changing when observed. LPA conducted parent interviews with current and past enrolled children. There was no information gathered through the LPA's observations, staff interviews, and parent interviews to confirm the allegation(s) to be true.

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.

No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2021

LIC9099 (FAS) - (06/04)

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