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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334801218
Report Date: 11/15/2021
Date Signed: 11/15/2021 02:18:01 PM

Document Has Been Signed on 11/15/2021 02:18 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
334801218
ADMINISTRATOR:WENDY SERNAFACILITY TYPE:
850
ADDRESS:11100 COLLETT AVENUETELEPHONE:
(951) 688-1313
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY: 104TOTAL ENROLLED CHILDREN: 69CENSUS: 42DATE:
11/15/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Director, Wendy SernaTIME COMPLETED:
02:25 PM
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On 11/15/2021 at 12:55pm, Licensing Program Analyst (LPA) Destinee Hogue conducted a case management inspection with Director, Wendy Serna. A case management inspection is being conducted in response to the receipt of an unusual incident report (UIR). The UIR was submitted to the Riverside Regional Office on 10/06/2021. On 10/14/2021, an inspection was conducted by LPA Hogue. During the 10/14/2021 inspection, LPA interviewed pertinent parties, reviewed facility records, and conducted facility observations. During this inspection, LPA Hogue toured the facility inside and outside, took census of preschool children present on this date, verified facility associations, and discussed the following with Director, Wendy Serna.

On or about, October 5, 2021, the facility was informed by a child's authorized representative that a staff member at the facility allegedly touched a child(ren) private parts while present in the Two's Classroom. Based on the information disclosed, the date and time of the alleged incident is unknown.

LPA Hogue interviewed pertinent parties and gathered the following information. There is conflicting information on the reported incident. The involved child(ren) was enrolled in the Pre-K classroom and according to interview with parties, the Pre-K children do not use the bathroom in the Two's Classroom. However, at the end of day when children and staff attendance is low, children will join together in the Two's classroom around 5:00pm, however according to records reviewed and interviews conducted, the suspected staff member accused of inappropriately touching a child(ren) in care, is not present at the end of day.

Based on information gathered, there appears to be no violations of Title 22 Regulations found at this time. An exit interview was conducted and a copy of this report was provided to Director Wendy Serna.

No deficiencies were cited during this inspection and a Notice of Site Visit was issued and shall remain posted for 30 days.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Destinee Hogue
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2021
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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