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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600083
Report Date: 04/18/2023
Date Signed: 04/18/2023 12:53:27 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/10/2023 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20230410165052
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
376600083
ADMINISTRATOR:NANISSA MADADIFACILITY TYPE:
850
ADDRESS:12668 SABRE SPRINGS PARKWAYTELEPHONE:
(858) 486-7197
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY:123CENSUS: 76DATE:
04/18/2023
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:TIME COMPLETED:
01:05 PM
ALLEGATION(S):
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1. Day care child sustained allergic reaction due to staff's negligence while in care.
2. Staff did not seek medical attention in a timely manner.
INVESTIGATION FINDINGS:
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 On 4/18/23, at 12:00 PM LPA Annette Sutherland met with Director Nanissa Madadi to deliver the above allegation findings based on interviews conducted with staff and staff testimonies. LPA and director toured the facility. Census was 76 children and also present were 8 staff members.

On Friday, April 7th, a child in the preschool sustained an allergic reaction due to negligence which constitutes an unsafe, unhealthy environment. Staff did not seek medical attention in a timely matter which constitutes lack of prompt arrangements for obtaining medical treatment when necessary.

Based on evidence gathered, the above allegations are substantiated. Upon receipt, director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and parents/guardians of children newly enrolled at the facility during the next 12 months. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023
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 51-CC-20230410165052
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 376600083
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
04/18/2023
Section Cited
CCR
101223(a)(2)
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101223 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. This requirement was not met as evidenced by:
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Director stated that the procedure has now changed and families will bring their lunches in a separate lunch bag. The lunch bag is stored in the children's classroom. Director will provide the new procedure to LPA via email to Annette.Sutherland@dss.ca.gov by 4/19/23.
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Based on director and staff interviews , child sustained an allergic reaction due to staff negligence while in care. This poses an immediate/potential health, safety or personal rights risk to children in care.
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Request Denied
Type A
04/18/2023
Section Cited
CCR
101226(b)
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101226 Health-Related Services (b) The licensee shall make prompt arrangements for obtaining medical treatment for any child if necessary. This requirement was not met as evidenced by:
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Director will provide a written statement that she understands the health procedures in children's files that require special needs and medication and on how the staff will be trained on signs of allergic reactions and send a copy to LPA's email at Annette.Sutherland@dss.ca.gov by 4/19/23. Director understands to send proof of training with in 15-30 days to LPA.
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Based on director and staff interviews, staff did not seek medical attention in a timely matter. This poses an immediate/potential health, safety or personal rights risk to children 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.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2