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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 344500453
Report Date: 04/21/2026
Date Signed: 04/21/2026 01:29:21 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
03/30/2026 and conducted by Evaluator Katy Velazquez
COMPLAINT CONTROL NUMBER: 53-CC-20260330110142
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
344500453
ADMINISTRATOR:ALISUAG, ELENAFACILITY TYPE:
830
ADDRESS:8160 SHELDON ROADTELEPHONE:
(916) 684-4222
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:28CENSUS: 9DATE:
04/21/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sandy FultzTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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On 04/21/2026, Licensing Program Analyst Katy Velazquez (LPA1) and Licensing Program Analyst Denice Pablico (LPA2) conducted an unannounced field visit to deliver the findings for the above allegation. LPAs arrived at the Center and observed a census of 9 infants. LPA1 disclosed the purpose of the inspection and LPAs were granted entrance. LPA1 accessed Guardian to determine that all required adults were background cleared and associated to the license. LPAs met with Director Sandy Fultz (D1).
Throughout the course of the investigation, LPAs conducted physical plant inspections, on-site observations, interviews, reviewed and collected documentation. LPAs reviewed the facility’s file and collected documentation pertaining to the allegation. It was alleged that the facility was out of ratio in the infant classroom on 03/20/2026 for 30 minutes in the morning. LPA2 reviewed the Face-to-Name log for 03/20/2026. The log shows that at 9:50 am a 5th infant was dropped off with 1 staff member who had been in the classroom since 9:30 am. A 2nd staff member joined the classroom at 10:02 am after leaving the class room at 9:39 am. The log shows that the orignal staff member was alone for 22 minutes with 5 infants on 03/20/2026 until the 2nd staff member returned to the classroom.
CONTINUED ON 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
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 53-CC-20260330110142
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 344500453
VISIT DATE: 04/21/2026
NARRATIVE
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Based on record reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A Type-B deficiency was cited on a subsequent 9099-D page. An exit interview was conducted and the report was reviewed with Director Fultz. LPA1 provided Licensee Appeal Rights to D1. A Notice of Site visit was posted by LPA1 and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20260330110142
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 344500453
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/28/2026
Section Cited
CCR
101416.5(b)
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Staff-Infant Ratio
b) There shall be a ratio of one teacher for every four infants in attendance.
This requirement was not met as evidenced by 1 staff member supervising 5 infants alone for 22 minutues on 03/20/206.
This poses a potential health, safety, or
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Director Fultz will conduct training with all infant staff members regarding ratios and parent pick-up/drop off. Director Fultz will have staff members sign a training reciept and will email this form to LPA Velazquez by 5:00 PM on 04/28/2026.
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personal rights risk to person(s) 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: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3