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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624030
Report Date: 12/29/2023
Date Signed: 12/29/2023 12:40:11 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/10/2023 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20231010121544
FACILITY NAME:LA PETITE ACADEMY INC.FACILITY NUMBER:
343624030
ADMINISTRATOR:PERKINS, SUSANFACILITY TYPE:
850
ADDRESS:3100 MACON DRTELEPHONE:
(916) 665-0274
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:192CENSUS: 22DATE:
12/29/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mornen HaymerTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff speak inappropriately to children
Staff handle children roughly
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco (LPA) met with Director, Mornen Haymer, to deliver findings. Throughout the course of the investigation, LPA toured the facility, observed staff provide care to children, reviewed documentation, and conducted interviews. LPA interviews, witness statements, and documentation corroborated the allegation that staff speak inappropriately to children and staff handle children roughly. The preponderance of evidence standard has been met, and the allegation is SUBSTANTIATED.
A Type A Title 22 Deficiency is issued on the attached LIC 9099-D page. Director shall provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. Exit interview was conducted with Director, appeal rights were provided, and A notice of site visit was given to Director, who will post it where visible to parents/guardians for 30 days. A signed Acknowledgement of Receipt of the Licensing Report (LIC 9224) must be placed in the child's file for verification.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2023
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 03-CC-20231010121544
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LA PETITE ACADEMY INC.
FACILITY NUMBER: 343624030
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/02/2024
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the ff. personal rights: (3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule...or other actions of a punitive nature...this requirement was not met, as evidenced by:
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Director stated she will conduct training to all staff regarding personal rights. Director will email agenda with date of training to LPM Pascual-Golamco by 6PM POC due date and will email documentation of training including staff signatures and materials, no more than 2 days after scheduled training.
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Director did not comply with the section cited above as interviews, witness statements, and record reviews reveal that staff speak inappropriately to children and staff handle children roughly, which poses an immediate 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: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/10/2023 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20231010121544

FACILITY NAME:LA PETITE ACADEMY INC.FACILITY NUMBER:
343624030
ADMINISTRATOR:PERKINS, SUSANFACILITY TYPE:
850
ADDRESS:3100 MACON DRTELEPHONE:
(916) 665-0274
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:192CENSUS: 22DATE:
12/29/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mornen HaymerTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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9
Staff are not changing children timely
Children are left without supervision
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco (LPA) met with Director, Mornen Haymer, to deliver findings. Throughout the course of the investigation, LPA toured the facility, observed staff provide care to children, reviewed documentation, and conducted interviews. LPA interviews, witness statements, and documentation revealed that staff supervise children by lining them up during transition, use their name to face sheets, and sign them in and out in their SproutAbout App. Aside from potty training, staff check diapers/pull ups in the morning as children come in, change their diapers/pull ups every 1.5 hours to 2 hours, or as necessary. Staff document potty use, and diaper changes on their App, SproutAbout. Witness and interview statements, LPA observation, and facility documentation failed to corroborate the allegation that staff are not changing children timely, and children are left without supervision. Although the alleged violation may have happened or are valid, the preponderance of evidence standard has not been met to fully prove or disprove that it did or did not occur, therefore, it is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3