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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198000853
Report Date: 09/20/2024
Date Signed: 09/20/2024 11:45:38 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/07/2024 and conducted by Evaluator Kruz Long
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240807144340

FACILITY NAME:LA PETITE ACADEMY INC.-GRAND AVE.FACILITY NUMBER:
198000853
ADMINISTRATOR:KAMAL GUPTAFACILITY TYPE:
850
ADDRESS:722 SO. GRAND AVE.TELEPHONE:
(909) 860-4009
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY:28CENSUS: 28DATE:
09/20/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Harinder Gill, Lead TeacherTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility staff physically force day care children to nap.
INVESTIGATION FINDINGS:
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On 09/20/24, Licensing Program Analyst (LPA) Kruz Long conducted a subsequent complaint visit to deliver complaint investigation findings. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with Harinder Gill, Lead Teacher and explained the purpose of the visit. There are currently 28 children enrolled. 28 Children and 5 Staff were present in 3 different classrooms during today's visit.

During the course of the investigation, LPA interviewed Staff #1(S1) to Staff #5(S5), Child #1(C1) to Child #3(C3) and Parent #1(P1) to Parent #3(P3) and reviewed video footage.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 33-CC-20240807144340
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LA PETITE ACADEMY INC.-GRAND AVE.
FACILITY NUMBER: 198000853
VISIT DATE: 09/20/2024
NARRATIVE
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Regarding allegation: Facility staff physically force day care children to nap. Reporting party (RP) alleged that Staff grabbed C1 by the face, pushed child’s head down into the bed in order to get child to nap. Although Staff, Children and Parents interviewed did not find corroborating information to determine this event occurred, RP did provide video footage of this event. LPA reviewed video footage which showed C1 lying down on a cot belly down with their head up. Staff approached child and used mild force to get the child to fall asleep.

Based on LPA’s record reviews, the preponderance of the evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1, Article 06, Section 101223(a)(1)) are being cited on the attached LIC9099D.

Upon receipt of the licensing report. Licensee shall post report documenting Type A citation along with Notice of Site Visit Form in an area accessible for review for 30 days or a civil penalty of $100 will be assessed. Licensee shall also provide a copy of the report documenting Type A citation and any report resulting from a Non-Compliance Conference to all parents of currently enrolled children along with form LIC 9224 (Acknowledgement of Receipt of Licensing Report) for signature. Completed form shall be placed in child's file. Licensee shall also provide report and form to parents of newly enrolled children for the next 12 months.

Exit interview conducted with Lead Teacher and a copy of this report and appeal rights provided. A Notice of Site visit was also provided and must be posted for 30 days.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 33-CC-20240807144340
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LA PETITE ACADEMY INC.-GRAND AVE.
FACILITY NUMBER: 198000853
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/04/2024
Section Cited
CCR
101223(a)(1)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced by:

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Licensee shall provide additional training to staff regarding children's personal rights and provide proof to the department by the POC date.
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Video footage reviewed showed C1 lying down on a cot belly down with their head up. Staff approached child and used mild force to get the child to fall asleep.
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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: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
LIC9099 (FAS) - (06/04)
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