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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364809116
Report Date: 11/05/2024
Date Signed: 11/05/2024 04:32:35 PM

Substantiated


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
10/01/2024 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20241001163914
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
364809116
ADMINISTRATOR:KECIA LOVINGFACILITY TYPE:
830
ADDRESS:14040 BEAR VALLEY ROADTELEPHONE:
(760) 241-4748
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:8CENSUS: 7DATE:
11/05/2024
UNANNOUNCEDTIME BEGAN:
01:41 PM
MET WITH:Linda MezaTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Allegation – Daycare child was injured while in care.
INVESTIGATION FINDINGS:
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On November 5, 2024, Licensing Program Analyst (LPA) Calloway made an unannounced inspection to the La Petite Academy to deliver complaint findings regarding the above allegation. LPA met with the facility representative who granted access. LPA observed seven napping infants and two representatives providing care. LPA observed the screws on the metal gate in the infant room were covered with a rubber covering. LPA was introduced to the new facility director during this inspection.
On October 7, 2024, LPA conducted a walkthrough of the entire daycare center and the physical plant. LPA toured the infant room and the observed a metal gate with screws exposed on the post of the gate where it mounted to the ground. Allegation #1- Daycare child was injured while in care. Child 1 (C1) fell inside the infant room and sustained a cut and bruise to the back of their head while in care. During the investigation, LPA observed the face to name sheet records and there was one qualified teacher as staff (S2) and one aide as staff members providing care to eight infants. The staff to child ratios were met inside the classroom. LPA observed video surveillance and S1 was present inside the room. The video showed S1move a few feet away then return to the area.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024
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 2
Control Number 12-CC-20241001163914
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 364809116
VISIT DATE: 11/05/2024
NARRATIVE
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 Based on the interviews with all relevant parties involved, S1 observed C1 pulled themselves up on the metal gate and was holding onto the gate. S1 left the area to tend to another child and their back was turned to C1.

S1 heard C1 cry and moved in C1’s direction. S2 redirected C1 several times in the same day from holding onto the gate, S2 was on the opposite side of the metal gate when C1 fell. The staff were present in the room, C1’s fall happened in an instant, both staff heard C1 cry and reacted. Although the injury was an accident and could not have been prevented, neither staff member was positioned in the classroom to have full visibility on Child 1. Both staff provided immediate attention, the parent was notified, and C1 received further medical treatment. Therefore, the above allegation is Substantiated, meaning the Preponderance of the evidence standard has been met.

There are no deficiencies cited during this inspection. There is a Technical Violation issued on Responsibility for Providing Care and Supervision 101229(a)(1). See TV page attached to this report.

An exit interview was conducted, and a copy of this report was read, and a Notice of Site Visit, were provided to Linda Meza, Facility Representative, at the facility. A Notice of Site Visit must remain posted for 30 days. Removal of the posting is subject to a $100 civil penalty.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2