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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270089
Report Date: 08/18/2023
Date Signed: 08/18/2023 12:33:13 PM

Document Has Been Signed on 08/18/2023 12:33 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
304270089
ADMINISTRATOR:BARBARA BROWNFACILITY TYPE:
850
ADDRESS:19860 BEACH BOULEVARDTELEPHONE:
(714) 962-0339
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY: 108TOTAL ENROLLED CHILDREN: 108CENSUS: 33DATE:
08/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Acting Director Madison TranTIME COMPLETED:
01:00 PM
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The purpose of this inspection was to conduct an unannounced visit due to a self-reported incident report received on 08/16/2023. Licensing Program Analyst (LPA) Castanon met with Acting Director Madison Tran. LPA toured four preschool rooms (Early Pre-K, Pre-K, 2’s and Preschool). Observed at the time of the visit was a total of 33 children with 5 staff. A review of the Facility Personnel Report Summary on 08/18/2023 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During today’s inspection, LPA Castanon interviewed Acting Director, two children and one staff member. LPA obtained a copy of the children's roster, staff roster and attendance logs.


Acting Director will provide LPA with surveillance video for review. Due to insufficient information available at this time further investigation is needed.

Exit interview was conducted with Acting Director Madison Tran. The Notice of Site Visit was posted. Assistant Director was advised the Notice of Site Visit must be posted for 30 days. (End of Report)
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE: DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2023
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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