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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364801075
Report Date: 03/15/2023
Date Signed: 03/15/2023 03:55:27 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/28/2022 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20221228143751
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
364801075
ADMINISTRATOR:TAMMY ESQUIVELFACILITY TYPE:
850
ADDRESS:14040 BEAR VALLEY ROADTELEPHONE:
(760) 241-4748
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:118CENSUS: 98DATE:
03/15/2023
UNANNOUNCEDTIME BEGAN:
03:47 PM
MET WITH:Kecia Loving, Director TIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation #1 Day care child sustained unexplained injuries while in care.
Allegation#2 Staff did not meet the day care child's needs.
Allegation #3 Day care child was bitten by another child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On March 15, 2023, Licensing Program Analyst (LPA) Kuliema Calloway made an unannounced visit to LA Petite Academy. The purpose of the visit was to conduct a complaint follow-up inspection visit to deliver findings for the above allegation(s). LPA met with S1 who granted access.
During the investigation. LPA conducted interviews with children, parents, and staff. Based on the statements obtained during the interviews conducted there was documentation stating C1 caused an self-inflected injury by pulling a scab on a scar causing it to bleed. Staff communicated with P1 for duration of child’s enrollment regarding behavior. There was no evidence provided that C1 was bitten by another child. Staff disenrolled C1 for the safety of the children in care. Based on the evidence , the three allegation(s) on Neglect/Lack of Supervision and Personal Rights are Unsubstantiated meaning, the allegation(s) may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. There are no deficiencies cited during this visit.
Exit Interview was conducted and A copy of this report, Notice of Site Inspection, and Appeal Rights were discussed and left with S1 at the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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