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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401074
Report Date: 10/22/2024
Date Signed: 10/22/2024 11:36:38 AM

Document Has Been Signed on 10/22/2024 11:36 AM - 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/
DIRECTOR:		JEANA COURSONFACILITY TYPE:
850
ADDRESS:1709 E. PALMDALE BLVD.TELEPHONE:
(661) 272-3708
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 108TOTAL ENROLLED CHILDREN: 108CENSUS: 61DATE:
10/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:33 AM
MET WITH:Jeana Courson, Director TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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On 10/22/2024, Licensing Program Analyst (LPA) Justeene Tamayo met with Director, Jeana Courson, who granted access to the facility. The purpose of the inspection was to conduct an unannounced case management inspection for a UIR received at Palmdale RO on 10/07/2024. LPA disclosed the purpose of the inspection to the facility representative. When LPA arrived at the facility there were 61 preschool age children in care, with 9 teachers.

Description of Incident: On 10/07/2024, Child #1 hid in a closet for approximately 5 minutes during transitional time.

During this inspection, LPA Tamayo interviewed child #1 and the staff involved. The interviews revealed that there was a lack of supervision during the transitional period, and staff did not witness the incident as it occurred, which poses a potential risk to child #1.

As a result of this information, the facility has been issued a Type B Citation for failing to provide adequate care and supervision as outlined in regulation 101229(a)(1). Please refer to the LIC809-D for the details of the deficiency.

The Director will conduct training on Care and Supervision for staff, with a focus on the transitional period. A copy of the training agenda and the sign-in/out sheets for the attending teachers will be provided by 11/05/24.



An exit interview was conducted, and a copy of this report was read and provided to the Director, along with a copy of her appeal rights and Notice of Site Visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2024
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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Document Has Been Signed on 10/22/2024 11:36 AM - It Cannot Be Edited


Created By: Justeene Tamayo On 10/22/2024 at 10:29 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LA PETITE ACADEMY INC.
FACILITY NUMBER: 197401074

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/05/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision 101229(a)(1):The licensee shall provide care and supervision..No child(ren) shall be left without the supervision of a teacher at any time, except as specified.. shall include visual observation.
This requirement was not met as evidence by:
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Director will conduct Care and Supervision Training with staff, specifically during the transitional period, and provide a copy of the training agenda and sign in/out sheets of the Teachers that attended no later than 11/05/24.
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On 10/07/24, child #1 hid in a closet for approximately 5 minutes without the care and supervision provided by Teacher #1, which poses a potential risk to day care children 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:Mariela Ramon
LICENSING EVALUATOR NAME:Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:
DATE: 10/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/22/2024


LIC809 (FAS) - (06/04)
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