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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624030
Report Date: 09/18/2024
Date Signed: 09/18/2024 06:03:25 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
08/22/2024 and conducted by Evaluator Fabian Schwartz
COMPLAINT CONTROL NUMBER: 03-CC-20240822162138
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: 43DATE:
09/18/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mornen HaymerTIME COMPLETED:
06:15 PM
ALLEGATION(S):
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Staff did not ensure that facility was kept free of insects - Substantiated
INVESTIGATION FINDINGS:
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On Wednesday 18 September at approximately 10:00am Licensing Program Analysts (LPAs) Fabian Schwartz and Erwina Pascual-Golamco met with Director Mornen Haymer to deliver the findings of a complaint investigation. At time of inspection there were 43 preschool children being supervised 3 staff and the director.

The department received a complaint alleging that facility was not kept free of insects.During today’s inspection, LPAs made observations, gathered documents, and conducted interviews. During today's inspection and previous inspection on 28 Aug 24, LPAs observed Turkestan cockroaches in facility. Facility is currently utilizing a pest management service and is actively working to prevent pests in facility. Based on those observations, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.
Report Continued on LIC9099-C........
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
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 4
Control Number 03-CC-20240822162138
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
VISIT DATE: 09/18/2024
NARRATIVE
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Continued from LIC9099.....


1 Type B Title 22 deficiency is being cited for having insects in facility. That citation is being explained in more detail on accompanying LIC9099-D Page.

This report was reviewed with the Director and an exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20240822162138
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: 09/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/18/2024
Section Cited
CCR
101238(a)(1)
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101238 Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.(1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

This requirement was not met as evidenced by:
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Director will increase visits from pest management company to continue preventing pests from the inside of facility. Director will email LPA next report from pest company by 18 October.
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LPAs observed pests in facility during inspections on 28 August 24 and 18 September 24 which poses a potential 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: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
08/22/2024 and conducted by Evaluator Fabian Schwartz
COMPLAINT CONTROL NUMBER: 03-CC-20240822162138

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: 43DATE:
09/18/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mornen HaymerTIME COMPLETED:
06:15 PM
ALLEGATION(S):
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Staff did not ensure that facility was kept clean - Unsubstantiated

Staff did not ensure that facility was kept in good repair - Unsubstantiated
INVESTIGATION FINDINGS:
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On Wednesday 18 September at approximately 10:00am Licensing Program Analysts (LPAs) Fabian Schwartz and Erwina Pascual-Golamco met with Director Mornen Haymer to deliver the findings of a complaint investigation. At time of inspection there were 43 preschool children being supervised 3 staff and the director.

During today’s inspection, LPAs made observations, gathered documents, and conducted interviews. During complaint investigation, LPAs did not findenough evidence to support allegations of Staff not ensuring that facility was kept clean or that Staff did not ensure facility was kept in good repair.

Although the allegations may have happened, there is not a preponderance of evidence to prove the allegations; therefore, the allegations are unsubstantiated. Exit interview was conducted and report was reviewed with Director, Mornen Haymer. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4