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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197409418
Report Date: 10/15/2025
Date Signed: 10/15/2025 06:05:21 PM

Unsubstantiated


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
08/22/2025 and conducted by Evaluator Mayra Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20250822103135
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
197409418
ADMINISTRATOR:MARIA GOLDMANFACILITY TYPE:
830
ADDRESS:28041 SECO CANYON ROADTELEPHONE:
(661) 297-0977
CITY:SAUGUSSTATE: CAZIP CODE:
91350
CAPACITY:16CENSUS: 3DATE:
10/15/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Melissa Edwards, DirectorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not provide proper supervision to infants in care
Staff did not provide proper food service to infants in care
INVESTIGATION FINDINGS:
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On Wednesday, October 15, 2025, Licensing Program Analyst (LPA), Mayra Rivera conducted an unannounced complaint inspection and to deliver findings in regards the above allegations. LPA met with director Melissa Edwards who granted access and guided LPA Rivera on a tour of the facility.

Upon LPA Rivera's arrival, LPA observed 3 infants with staff #1 present providing care and supervision.
During the course of this investigation, LPA Rivera conducted confidential interviews with staff, and parents and reviewed relevant evidence. Based on the information obtained, there was no indication that staff failed to provide proper supervision or appropriate food service to infant/toddlers in care.

This agency has investigated the complaint alleging staff did not provide proper supervision to infants in care and staff did not provide proper food service to infants in care. At this time, it is determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
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 2
Control Number 12-CC-20250822103135
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
FACILITY NUMBER: 197409418
VISIT DATE: 10/15/2025
NARRATIVE
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the alleged violation(s) did or did not occur, therefore at this time the above allegations are unsubstantiated. No deficiency given at this time.

Exit interview was conducted with director Melissa Edwards. The director was provided a copy of the appeal rights (LIC 9058) and signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2