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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 344500454
Report Date: 04/12/2024
Date Signed: 04/12/2024 03:24:04 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
03/06/2024 and conducted by Evaluator Katy Velazquez
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240306110836
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
344500454
ADMINISTRATOR:HUFF, CARIFACILITY TYPE:
850
ADDRESS:8160 SHELDON ROADTELEPHONE:
(916) 684-4222
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:168CENSUS: 51DATE:
04/12/2024
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Hailey WegnerTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff did not clean child properly during diaper changes.
INVESTIGATION FINDINGS:
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On 04/12/2024, Licensing Program Analyst Katy Velazquez (LPA1) and Licensing Program Analyst Janie Davies (LPA2) conducted an unannounced complaint investigation to deliver the findings for the above allegation. LPA met with Assistant Director Hailey Wegner (D1). Throughout the course of the investigation, LPA1 conducted physical plant inspections, on-site observations, interviews, reviewed and collected documentation. It was alleged that staff did not clean a child properly during diaper changes. A child in care, was taken for medical attention due to lack of hygeine. Although the child spent time at both home and the facility, the facilty did not document signs of redness nor rash in the app used for Parent notification. The facilty applied an ointment to the infant; however, this application of ointment was not documented in the app nor was the reason why. Additionally, due to the facility being short staffed, several staff members were used in the diapering classroom to provide care. It could not be determined if all staff members had proper training in diapering.
Based on interviews, file reviews, and observations conducted 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. CONTINUED ON 9099-C

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2024
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 5
Control Number 53-CC-20240306110836
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: 344500454
VISIT DATE: 04/12/2024
NARRATIVE
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A letter of clearance was provided to D1 at the time of inspection.
An exit interview was conducted, and the report was reviewed with Assistant Director Wegner. 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: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 53-CC-20240306110836
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: 344500454
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/19/2024
Section Cited
CCR
101223(a)(2)
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Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights:...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

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Assistant Director Wegner (D1) will conduct training with all staff members on Diapering Procedures. D1 will conduct observations of staff to ensure that they are using La Petite Diapering Procedures. D1 will email LPA a copy of the agenda from training, attendance from training, a statement aknowledging that
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This regulation was not met as evidenced by a child receiving medical attention due to a lack of hygiene which was a result of not having proper diaper changes.
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she conducts observations.

POC was completed in advance and a letter of clearance was provided to D1.
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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: 04/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
03/06/2024 and conducted by Evaluator Katy Velazquez
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240306110836

FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
344500454
ADMINISTRATOR:HUFF, CARIFACILITY TYPE:
850
ADDRESS:8160 SHELDON ROADTELEPHONE:
(916) 684-4222
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:168CENSUS: 51DATE:
04/12/2024
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Hailey WegnerTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff did not ensure child was dressed appropriately for the weather.
Staff did not change child's wet clothes timely.
INVESTIGATION FINDINGS:
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On 04/12/2024, Licensing Program Analyst Katy Velazquez (LPA1) and Licensing Program Analyst Janie Davies (LPA2) conducted an unannounced field visit to deliver the findings for the above allegations. LPA arrived at the facility and was met by Assistant Director Hailey Wegner (D1). LPA disclosed the purpose of the inspection and was granted entrance into the facility.
Throughout the course of the investigation, LPA conducted physical plant inspections, on-site observations, interviews, reviewed and collected documentation. LPA reviewed the facility’s file and collected documentation pertaining to these allegations. It was alleged that staff did not ensure a child was dressed appropriately for the weather and did not change a child's wet clothes timely. Interviews did not reveal information to support this allegation. Without a date of occurance, LPA was unable to obtain video footage. Based on interviews and documentation, there was not a preponderance of evidence to prove or negate the allegations, therefore the allegations are UNSUBSTANTIATED.

CONTINUED ON 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2024
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 5
Control Number 53-CC-20240306110836
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: 344500454
VISIT DATE: 04/12/2024
NARRATIVE
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 In the areas that were evaluated on 04/12/2024, no deficiencies were cited during today's inspection. An exit interview was conducted with Assistant Director Wegner and Appeal Rights were provided by LPA. 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: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5