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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401074
Report Date: 07/22/2021
Date Signed: 07/22/2021 03:08:23 PM

Document Has Been Signed on 07/22/2021 03:08 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:LA PETITE ACADEMY INC.FACILITY NUMBER:
197401074
ADMINISTRATOR:JEANA COURSONFACILITY TYPE:
850
ADDRESS:1709 E. PALMDALE BLVD.TELEPHONE:
(661) 272-3708
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 108TOTAL ENROLLED CHILDREN: 0CENSUS: 44DATE:
07/22/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:27 AM
MET WITH:Gina QuessenberryTIME COMPLETED:
03:20 PM
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On July 22, 2021 at 11:27 AM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced annual/random inspection. LPA disclosed the purpose of inspection and was granted entry by Assistant Director, Gina Quessenberry who guided LPA on a tour of the facility. Upon arrival, LPA observed five classrooms in use with a total of 44 preschool children and 8 teachers on the premises. The hours of operation are 6:30 AM - 6:00 PM Monday - Friday. The center also has an Infant Program (197401076) and School-age (197401075) Program. (Not included in counts, but staff associations verified.) Incidental Medical Services (IMS) were discussed.

Furniture and equipment were inspected for age appropriateness and good repair. All rooms are clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings labeled with their names. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms in the form of disposable plastic cups and water jugs. LPA observed a sufficient quantity of cots available for napping children. The bedding is stored separately and properly. The sheets and blankets are washed daily or sent home daily to wash at home. Cots are sanitized daily. There is a fire extinguisher (checked 2/23/2021), smoke detector and a carbon monoxide detector on the premises.
LPA inspected and observed four clean bathrooms (7 toilets, 7 sinks). Toilets and sinks are functioning properly and are age appropriate. LPA observed soap, toilet paper, and paper towels readily available. Water temperature is appropriate. LPA observed staff during lunch and nap time.
Children are inspected for illnesses as they arrive with a no-touch thermometer and an overall wellness check. A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Director and other administration staff administers medication and documents the dosage, date, and time onto a log. Medication is brought and locked at the center (unless parent request daily return). Medication is properly labeled and stored in its original container. Medication is kept at the center until expiration date and it is sent home with the parent for disposal.
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE: DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2021
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY INC.
FACILITY NUMBER: 197401074
VISIT DATE: 07/22/2021
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Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. The play area has playground cushion and concrete. There is an area for rest under canopy. Water jug and disposable cups are brought outside during play. Play area was inspected and found to be free of hazards and inaccessibility to bodies of water. Separate playground yard for school-age and infant children. The jungle gym is anchored and shaded with canopy. There is a bike path, basketball hoop and other age appropriate toys. Children are permitted to play outside until 10:00AM during heat wave, but are kept indoors in air conditioned center remainder of day.

There is a clean fully equipped kitchen (off limits) with refrigerator, freezer, stove and microwave oven. The facility provides breakfast, lunch, and PM snack. Allergy lists are posted in the kitchen and classrooms. LPA observed an appropriate amount of food and snacks, staff preparing lunch (with gloves). The chemicals are kept separate from the food (kitchen adjacent to kitchen sink or locked inaccessible in classroom cabinets).

Sign in and out sheets were reviewed. The parent board was reviewed and has the required forms posted. Fire/earthquake drills current. Roster current.

Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Staff were questioned to establish their familiarity of emergency reporting requirements, emergency disaster plans and other site operations. Personal rights of children were discussed.
Children's records and staff records were reviewed. Staff are certified in CPR/First Aid expire 03/02/2022. Note: The training must be taken through American Red Cross, American Heart Association, or through Emergency Medical Services (EMS) Authority approved trainers. Online courses are not acceptable and would result in a citation. The First Aid kit was observed and is complete. Additional forms and a copy of Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov.

--Director advised visit www.shotsforschool.org for Immunization information.
--Director was informed of responsibility to report suspected Child Abuse, 1-800-827-8724/760-243-6640
--Child Care Centers (Disaster Planning information):https://cccld.childcarevideos.org/child-care-center-operators/disaster-planning-and-fire-safety/
--Child Care Videos: https://ccld.childcarevideos.org
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY INC.
FACILITY NUMBER: 197401074
VISIT DATE: 07/22/2021
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--Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov
--Director advised before an individual can work at a licensed childcare facility, they must receive a criminal record clearance or exemption from the Department’s Care Provider Management Bureau (CPMB).

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

Center Director advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation (call within 24 hours and submit written report within 7 days) and on the form LIC624. Center reminded to review updates/regulations as well as quarterly updates on Department website. The "Notification of Parent's Rights" poster must be posted in an area of the center accessible to parents. The information regarding new legislation with regards to exemptions and Parent’s Rights was also discussed.

No deficiencies cited according to Title 22 Regulations. Consultation provided during the inspection. Exit Interview conducted and a copy of report read and provided to Assistant Director, Gina Quessenberry.
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
LIC809 (FAS) - (06/04)
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