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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401086
Report Date: 03/04/2025
Date Signed: 03/04/2025 02:35:23 PM

Document Has Been Signed on 03/04/2025 02:35 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:LA PETITE ACADEMY INC.FACILITY NUMBER:
197401086
ADMINISTRATOR/
DIRECTOR:		WARD, AIMEEFACILITY TYPE:
840
ADDRESS:43741 CHALLENGER WAYTELEPHONE:
(661) 945-1800
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 14DATE:
03/04/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:14 PM
MET WITH:Aimee WardTIME VISIT/
INSPECTION COMPLETED:
02:32 PM
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On March 4, 2025, Licensing Program Analyst (LPA) Joselito L. Del Mundo conducted a case management inspection at La Petite Academy Inc. LPA met with Aimee Ward. LPA stated purpose of the inspection was to follow-up on a self-reported Unusual Incident Report (UIR) that happened on January 7, 2025, at the center where a child was injured. The investigation included an inspection of the facility where the incident occurred, a review of facility records, and confidential interviews with staff members.

During this visit, LPA observed fourteen children with one staff providing care and supervision.

On January 7, 2025, while the children were playing in the classroom, C#1 fall back and hurt C#1’s wrist. The parent was notified, and C#1 was picked up by the parent. C#1 was taken to the hospital and C#1’s arm was casted.

Based on the information gathered and confidential interviews with relevant parties, it was determined that the incident was an accident. No deficiencies were cited as a result of this self-reported unusual incident report.

A LIC 9213 Notice of Site Visit was left at facility and must be posted for 30 days. Failure to do so will result in an immediate civil penalty assessment of $100.00.

An exit interview was conducted, Appeal Rights and a copy of this report were provided to Director Aimee Ward.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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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