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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197401088
Report Date: 02/14/2024
Date Signed: 02/14/2024 11:04:00 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/20/2023 and conducted by Evaluator Mayra Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20231120134659
FACILITY NAME:LA PETITE ACADEMY INC.FACILITY NUMBER:
197401088
ADMINISTRATOR:ASHLEY PEREZFACILITY TYPE:
840
ADDRESS:28041 SECO CANYONTELEPHONE:
(661) 297-0977
CITY:SAUGUSSTATE: CAZIP CODE:
91350
CAPACITY:28CENSUS: 0DATE:
02/14/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Maria Goldman, DirectorTIME COMPLETED:
11:05 AM
ALLEGATION(S):
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Staff left day care children unattended
INVESTIGATION FINDINGS:
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On Wednesday, February 14, 2024, at 9:35 a.m., Licensing Program Analyst (LPA), Mayra Rivera conducted an unannounced complaint inspection and delivered findings regarding facility staff left day care children unattended. LPA did not observe children present.

During the course of this investigation, Licensing Program Analyst Mayra Rivera conducted confidential interviews and reviewed documentation. During the interviews it was disclosed LA Petite transportation used the valet drop off and the children were being dropped off at the top of the hill near the park or at the bottom of the roundabout and not ensuring children are received by school staff or making sure children are entering the school gatesl. Per director, the next day, changes were made to ensure children are entering the school by having La Petite transportation utilize school staff parking and view children entering the school gates.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 12-CC-20231120134659
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY INC.
FACILITY NUMBER: 197401088
VISIT DATE: 02/14/2024
NARRATIVE
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The above allegation is found to be substantiated. A finding of substantiated means that the allegation has been found to be valid because the preponderance of the evidence standard has been met. Based on information obtained during this investigation, the following Type B deficiency listed on the attached LIC 809D is being cited in accordance with California Code of Regulations Title 22. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

The following citation is being cited today on the attached LIC 9099D.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a type “B” deficiency. The report and the Notice of Site Visit (LIC 9213) shall be posted for 30 consecutive days. Failure to maintain posting as required will result in an immediate $100 civil penalty.
The exit interview was conducted with director Maria Goldman. A copy of this report and appeal rights were discussed and left with director, Maria Goldman, whose signature on this form confirms receipt of these documents.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20231120134659
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: LA PETITE ACADEMY INC.
FACILITY NUMBER: 197401088
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/14/2024
Section Cited
CCR
101229
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Responsibility for Providing Care and Supervision- (a) The licensee shall provide care and supervision as necessary to meet the children's needs. Based on interviews and documentation the licensee did not comply with the section cited above in not ensuring children are received by school staff
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Per director, the next day, changes were made to ensure children are entering the school by having La Petite transportation utilize school staff parking and view children entering the school gates.
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 or making sure children entering the school gates which posed a potential
health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3