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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 344500454
Report Date: 02/27/2025
Date Signed: 02/27/2025 04:25:01 PM

Document Has Been Signed on 02/27/2025 04:25 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
344500454
ADMINISTRATOR/
DIRECTOR:		SANCHEZ, ASHLEYFACILITY TYPE:
850
ADDRESS:8160 SHELDON ROADTELEPHONE:
(916) 684-4222
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 168TOTAL ENROLLED CHILDREN: 168CENSUS: 61DATE:
02/27/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Ashley SanchezTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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On 02/27/2025, Licensing Program Analyst Katy Velazquez (LPA) conducted a 2nd field visit to the facility for the purpose of a case management inspection regarding a self reported Unusual Incident dated 10/18/2024. LPA arrived at the facility and was met by Director Ashley Sanchez (D1). LPA disclosed the purpose of the inspection and was granted entrance into the facility. LPA observed a census of 61 preschool aged children in attendance. LPA determined through accessing Guardian that all required adults were background cleared and associated to the license.

It was reported that on 10/18/2024, a child enrolled in the infant program was injured on the preschool playground, which resulted in the child's fingertip being severed off. Interviews conducted and documentation collected support that the child was injured while under the supervision of the facility. The supervising staff member(s) were unable to explain how the child was injured. Interviews revealed that no staff member witnessed the occurrence of the injury.

Due to the lack of supervision and the commingling of age groups, the facility was cited a Type A and Type B deficiency on subsequent 9099-D page(s). D1 acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 9099-D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. An exit interview was conducted, and the report was reviewed with Director Sanchez. LPA provided Licensee Appeal Rights to D1. A Notice of Site visit was posted by LPA 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: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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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Document Has Been Signed on 02/27/2025 04:25 PM - It Cannot Be Edited


Created By: Katy Velazquez On 02/27/2025 at 03:51 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 344500454

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/28/2025
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time,...Supervision shall include visual
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Director will provide all staff with supervision training. Director provided LPA with a staff memo requiring mandatory training for all staff on 03/05/2025 and 03/06/2025. Director will email LPA the attendance logs by 5 PM on 03/07/2025. LPA cleared citation on site and provided Director with a letter.
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 observation. This requirement was not met as evidenced by no staff member(s) providing visual observation to a child on 10/18/2024 who was injured during recess time. This poses/posed 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.
SUPERVISOR'S NAME:Karyn Guerra
LICENSING EVALUATOR NAME:Katy Velazquez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/27/2025 04:25 PM - It Cannot Be Edited


Created By: Katy Velazquez On 02/27/2025 at 04:07 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 344500454

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2025
Section Cited
CCR
101161(a)

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Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
This requirement was not met as evideced by infant aged children

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Director Sanchez discussed not commingling children with staff members on 02/17/2025 at a monthly Staff Meeting. Director will create a policy for tranisiotning children to visit the new classrooms(s). Director will email the policy to LPA by 5 pm on 03/06/2025.
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visiting the preschool aged classroom(s) and preschool playground on 10/18/2024. This poses/posed a potention 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.
SUPERVISOR'S NAME:Karyn Guerra
LICENSING EVALUATOR NAME:Katy Velazquez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


LIC809 (FAS) - (06/04)
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