<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364801075
Report Date: 08/09/2023
Date Signed: 08/09/2023 03:59:24 PM

Document Has Been Signed on 08/09/2023 03:59 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
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: 118TOTAL ENROLLED CHILDREN: 88CENSUS: 68DATE:
08/09/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Facility Representative, Kecia Loving TIME COMPLETED:
04:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On August 9, 2023 at 09:05 a.m. Licensing Program Analyst (LPA) Kendal Zirbes met with Facility Representative Kecia Loving. The purpose of the inspection was to conduct a required one year inspection at the licensed facility. LPA disclosed the purpose of the inspection to the facility staff member. Present during today’s inspection were 68 preschool age children, seven teachers, and additional staff members.
The preschool area consists of five classrooms, three children's restrooms and two outdoor play spaces. The Center also has a licensed infant center component (364809116) and school age component (364801076). All three components share the front office space, administrative offices, kitchen, staff break room, and staff restrooms. The center operates 06:30 a. m. - 06:30 p. m. Monday to Friday.
Indoor/Children's Area: LPA observed all outdoor and indoor classrooms, passageways, stair ways, incline, ramps, open porches and other areas of potential hazard are kept free of obstruction; floors of all rooms have a surface that is safe and clean, cleaning compounds are stored in each classroom. The cleaning products in each classroom were stored in cabinets equipped with key locks. In the Pre K classroom, LPA observed two spray bottles containing cleaning solution. One spray bottle consisted of a soap and water solution and the other was a bleach and water solution. The spray bottles were observed on a shelf behind a unlocked closed cabinet door. The shelf was approximately three feet high. Children were in this classroom and engage in an art activity with the teacher. Furthermore, in an unoccupied preschool classroom, LPA observed two spray bottles with cleaning solution on a 3"10' shelf, in addition four additional spray bottles with cleaning solution were observed in an open cabinet on a shelf that was between 2-3 feet high. LPA observed children use this classroom as a passageway. LPA observed Bleach and cleaning solutions in a cabinet under the kitchen sink. The cabinet was not equipped with a locking mechanism. The kitchen door was open, and no barrier prevented the children from entering the kitchen. Two staff members were present in the kitchen when LPA observed the cleaning products under the sink. When LPA observed the cleaning products the children were under a teacher’s supervision. Based on LPA's observation the cleaning products were potentially accessible to the children in care. A Type B citation was issued as the cleaning products were a potential risk to the children in care. Report continued on page two
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 364801075
VISIT DATE: 08/09/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Report continued from page one
Zero poisons were stored within the preschool center. The furniture was good condition. The Center was free of flies, other insects, or rodents. Each classroom was equipped with tables and chairs to meet children’s needs. All play equipment and materials used by children are age-appropriate, children have individual cubbies labelled with their name for their clothing, personal belongings and or bedding. Trash cans for solid waste have tight fitting lids. All materials and surfaces are toxic free. No fireplaces were present in the preschool classrooms. Carbon monoxide detectors, smoke detector and fire extinguishers were located throughout the Center. The Center had working telephone service on the premises. There is an isolation area for children who become ill while in care. The facility maintains a comfortable temperature at all times. Sign in/out sheets were available and are completed each day. Smoking prohibited on the premises. Staff complete daily inspections for illness. LPA did not observe prohibited child care items at this time. Firearms/weapons are not allowed or stored on premises. There are no bodies of water on the premises. The Center has the menu posted. Children have access to water while in the classrooms via drinking fountains.
During LPA's walk through LPA observed the sink and faucet in the 2's classroom had rust and hard water deposits around the knobs. Based on information obtained from the facility representative, the Center was being remodeled over the weekends. Facility representative stated, the sinks, faucets, counter tops, toilets and bathrooms are in the process of being repainted and new fixtures are on back order. Per facility representative the remodel should be completed by the end of August 2023. LPA provided a technical advisory notice to the Center as the Center has a plan for replacing the items that are showing signs of wear. LPA advised that the Center had to be maintained in a clean, safe and sanitary environment. LPA advised the Center that additional staff should be on site to completed housekeeping and maintenance functions.
Napping: Cots are utilized by the children.
Restrooms: There are four children's restroom in the Center. The Twos classroom was equipped with a changing table. Additional restrooms available for the staff. In the Preschool bathroom which is shared with school age program, LPA observed the toilet paper rolls were sitting on top of the toilet paper dispensers. In the Pre K 2 classroom, LPA observed the paper towel rolls were placed on top of the dispensers. LPA advised the Center of their responsibility to ensure a safe and sanitary environment. An advisory notice was issued.
Report continued on page three
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023
LIC809 (FAS) - (06/04)
Page: 2 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 364801075
VISIT DATE: 08/09/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Report continued from page two

Kitchen: The facility has a self contained kitchen. The kitchen has a door which prevents the children from access the kitchen area. LPA observed the kitchen door was open during this inspection. LPA advised the facility to ensure the door remains closed and lock so the knives and chemical are not accessible to the children in care. Kitchen has a sink, refrigerator, a stove, and storage cabinets. The Center provides breakfast, lunch and one snack.
Outdoor: The preschool has two enclosed outdoor play spaces. One of the spaces is used specifically for the twos classroom. LPA observed plastic bags and trash debris in the corner of the twos outdoor play yard. The outdoor trash can was full and the lid could not be closed all the way. Ten children and one teacher were playing in the outdoor area when LPA made these observations. LPA advised the Center to ensure all debris is removed from the play space prior to the children playing in the area and ensure the trash is emptied each day if the lid can not close. A technical advisory notice was issued.
A second outdoor play space is utilized for the older preschool age children. The space has a large climber placed on wood chips, a grassy area for large motor movement, shady areas and benches. The climbing structure was securely anchored to the ground. LPA advised the Center to ensure the depth of wood chips under the climbing structure can absorb falls. A technical assistance was provided. Zero bodies of water were observed. The outdoor play space is completely fenced and separate from the playground utilized by the infant and school age components. Drinking water is readily available to the children when outside via drinking fountain and a water jug and cups.

During the inspection teacher child ratios were observed, and found to met the requirements. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate.

Staff/Personnel Records
LPA reviewed five child records and six staff files during this inspection. Child records were complete and contained all required information. Five of six staff files reviewed were did not contain documentation that the staff completed the two year renewal of the mandated reporter training. Two of six staff files reviewed were missing documentation that the staff had received or declined the influenza vaccination between August 1 and December 1 of each year. Two type B citations were issued, refer to LIC 809D. A staff member was on site who had current CPR/First Aid. Report continued on page four
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023
LIC809 (FAS) - (06/04)
Page: 3 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 364801075
VISIT DATE: 08/09/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Report continued from page three

Facility Records
LPA and Facility representative reviewed the LIC 311A Records To Be Maintained At The Facility.
The facility has met the required Lead testing requirements. Per conversation with the facility, the Administrator/Director on record with the Department no longer works at the Center. LPA advised the Center to submit the required documents to the Department so the name of the Director/Administrator can be updated. Per facility representative the Center previously reported the change in Administrator to the Department.

Health Related Services
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Postings:
The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 393), car seat law (PUB 269), emergency disaster plan. The Disaster and Mass Casualty Plan was posted. Per LPAs review the plan was completed in 2014 and the staff members listed on the plan do not currently work at the facility. LPA advised the Center to update the Disaster and Mass Casualty Plan. A technical violation was issued.

Topics Discussed:
Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. The Director shall permit the Department to inspect the center, and to privately interview children or staff, to determine compliance with or to prevent violations of laws or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation. Report continued
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023
LIC809 (FAS) - (06/04)
Page: 4 of 12
Document Has Been Signed on 08/09/2023 03:59 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 08/09/2023 at 01:44 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 364801075

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/09/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above when spray bottles containing cleaning solution were observed in accessible areas of two classrooms and in the kitchen which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/15/2023
Plan of Correction
1
2
3
4
Per facility representative, the cleaning products were relocated during the inspection. A staff training will be completed to remind staff where the cleaning solutions should be stored. A copy of the training sign in sheet will be provided to the Department
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in five out of six staff files (S2, S3, S4, S5, S6) did not contain documentation that the staff completed the two year renewal of the mandated reporter training which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/23/2023
Plan of Correction
1
2
3
4
Per facility representative, the staff will competed the mandated reporter training as required. All staff records will be reviewed by 9/1/23, to ensure they contain all required documents. Proof that the files have been reviewed will be submitted to the Department.
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:Lady King
LICENSING EVALUATOR NAME:Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:
DATE: 08/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/09/2023


LIC809 (FAS) - (06/04)
Page: 5 of 12
Document Has Been Signed on 08/09/2023 03:59 PM - It Cannot Be Edited


Created By: Kendal Zirbes On 08/09/2023 at 01:44 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 364801075

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/09/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in two (S1, S2) of six staff files reviewed were missing documentation that the staff had received or declined the influenza vaccination between August 1 and December 1 of each year, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/01/2023
Plan of Correction
1
2
3
4
Per facility representative, immunization paperwork will be added to the staff files. All staff records will be reviewed by 9/1/23, to ensure they contain all required documents. Proof that the files have been reviewed will be submitted to the Department.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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:Lady King
LICENSING EVALUATOR NAME:Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:
DATE: 08/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/09/2023


LIC809 (FAS) - (06/04)
Page: 6 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 364801075
VISIT DATE: 08/09/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Facility representative was advised of the requirement to report Unusual Incidents. Facility representative informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department (email address: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The On-Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important license related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to insectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Based on LPA observations and record review three type B citations, four technical violations and one technical assistance was issued.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the facility representative Kecia Loving.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023
LIC809 (FAS) - (06/04)
Page: 12 of 12