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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
343624030
Report Date:
08/06/2024
Date Signed:
08/06/2024 12:22:05 PM
Document Has Been Signed on
08/06/2024 12:22 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
SACRAMENTO CC RO
,
9835 GOETHE ROAD, SUITE 100
SACRAMENTO
,
CA
95827
FACILITY NAME:
LA PETITE ACADEMY INC.
FACILITY NUMBER:
343624030
ADMINISTRATOR/
DIRECTOR:
PERKINS, SUSAN
FACILITY TYPE:
850
ADDRESS:
3100 MACON DR
TELEPHONE:
(916) 665-0274
CITY:
SACRAMENTO
STATE:
CA
ZIP CODE:
95835
CAPACITY:
192
TOTAL ENROLLED CHILDREN:
192
CENSUS:
41
DATE:
08/06/2024
TYPE OF VISIT:
Collateral
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:
Mornen Haymer
TIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Mandie Goodwin and Fabian Schwartz conducted a collateral visit to this facility in order to conduct interviews as part of a complaint investigation for another licensed facility that is not related to this facility. No title 22 deficiencies were cited in relation to this visit. Exit interview was conducted and report was reviewed with Director Mornen Haymer.
Notice of Site Visit Posted.
SUPERVISORS NAME
:
Seychelle De Luca
LICENSING EVALUATOR NAME
:
Mandie Goodwin
LICENSING EVALUATOR SIGNATURE
:
DATE:
08/06/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/06/2024
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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