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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075700611
Report Date: 08/13/2024
Date Signed: 08/13/2024 03:15:48 PM

Document Has Been Signed on 08/13/2024 03:15 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
075700611
ADMINISTRATOR/
DIRECTOR:		SHIELDS, KARENFACILITY TYPE:
850
ADDRESS:5075 CROW CANYON ROADTELEPHONE:
(925) 735-7900
CITY:SAN RAMONSTATE: CAZIP CODE:
94582
CAPACITY: 156TOTAL ENROLLED CHILDREN: 156CENSUS: 28DATE:
08/13/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:34 PM
MET WITH:Rosa Silva Tichauer & Carolyn GarzaTIME VISIT/
INSPECTION COMPLETED:
03:35 PM
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A Prelicensing inspection was conducted today 8/13/2024 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Applicant, Rosa Silva Tichauer and Director, Carolyn Garza. The applicant has submitted a CHANGE IN OWNERSHIP application for a PRESCHOOL license requesting 156 preschoolers. Also present during today's visit were 6 additional staff members and 28 napping preschool aged children. The program will operate from 7AM - 6PM, Monday through Friday, in 7 classrooms and one play yard. A health and safety inspection was conducted inside and outside. Measurements were taken and are as follows:

INDOORS: 5292.36 square feet = 151 children
OUTDOORS: 12744.93 square feet = 169 children

The center has obtained an approved fire inspection clearance from the San Ramon Valley Fire Department on 7/18/2024.

The facility has 7 classrooms. The preschool rooms are equipped with varied age appropriate materials and equipment. There are 11 toilets, and 11 sinks available for children use. Staff toilet is located nearest the Director's office. Facility provides AM/PM snacks. Menu will be posted at least one week in advance in a place visible for the authorized representative to see. Children bring lunch from home. Facility will utilize office and staff bathroom as isolation space. Cots were observed today.

This facility plans to provide Incidental Medical Services - IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 075700611
VISIT DATE: 08/13/2024
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There is a play yard which is fenced in all around. Previous owners, Acorn Learning Center, had food preparation and drinking water spouts tested for lead contamination. La Petite Academy will request a waiver to utilize previous ownership's testing results. No cleaning agents were found stored with food. There is a refrigerator available. First aid supplies are available in the center. There is a working telephone on site. Facility will utilize an electronic sign in/out software that has a separate PIN/login for each authorized representative. Paper sign in/out sheets will be utilized should the electronic software be unavailable. LPA reviewed with Applicant the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.



A license for 151 preschool children, will be issued effective today, 8/13/2024.

Exit interview conducted with Facility Representatives, Rosa Silva Tichauer & Carolyn Garza.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
LIC809 (FAS) - (06/04)
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