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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600083
Report Date: 05/24/2023
Date Signed: 06/05/2023 06:46:39 AM

Document Has Been Signed on 06/05/2023 06:46 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 ACADEMYFACILITY NUMBER:
376600083
ADMINISTRATOR:NANISSA MADADIFACILITY TYPE:
850
ADDRESS:12668 SABRE SPRINGS PARKWAYTELEPHONE:
(858) 486-7197
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY: 123TOTAL ENROLLED CHILDREN: 123CENSUS: 0DATE:
05/24/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Nanissa Madadi and Tammi RelifordTIME COMPLETED:
11:06 AM
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 5/24/23 at 10:00 AM Licensing Program Manager (LPM), Renesha Askew and Licensing Program Analyst (LPA) Adrian Mangina conducted a virtual office meeting with Facility Representatives Nanissa Madadi (Director) and Tammi Reliford (District Manager), via video conferencing (MS Teams). The purpose of this meeting is to discuss CCL expectations and requirements regarding reporting requirements, Director/Administrator responsibilities, Personal rights, and Supervision by and of staff, and nd to discuss Center current procedure/policy for responding to staff with behavior issues/concerns.


The following Regulations were reviewed and a copy of each listed were provided to Facility Representatives electronically: Section 101223 Personal Rights, Section 101229: Responsibility for Providing Care and Supervision, Section 101212 Reporting Requirements, Section 101215 Administrator Qualifications and Duties, and 101215.1 Child Care Center Directors Qualifications and Duties. Technical Service Program (TSP) referral was offered and Facility Representative will provide an answer after decision has been made about participation. TSP brochure provided.

Per Facility Representatives, current procedure for reporting is that staff can report incidents to Director, District Manager or the Ethics Complaint line and that staff are aware of their requirement to report. Director is aware that she has responsibility to report incidents to Licensing. Facility currently has in-house training for the above topic for new staff and ongoing.

Facility Representatives were also provided with the CDSS Child Care Licensing (CCL) Child Care Center Operators Resource link with instructional videos: https://ccld.childcarevideos.org/child-care-center-operators/ It is recommended for Director and staff to review the videos including, but not limited to: Children’s Personal Rights in Childcare, Child Care Reporting Requirements, and Supervising Children in Child Care Centers.

(continued on LIC809 page 2)
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2023
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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
VISIT DATE: 05/24/2023
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
LIC809 page 2

Facility Representatives state they understand that they need to abide by Health and Safety Code and Title 22 Regulations in the operation of their Child Care Center. Facility representatives were also provided with Provider Information Notice (PIN) 21-01-CCLD regarding Guardian. Facility Representatives were provided with the incident Reporting email address: SDIncidentReports@dss.ca.gov

Facility Representatives were advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates and regulation. Spring 2023 Quarterly Update provided. Facility Representative states she is signed up to receive new PIN's. During meeting Facility Representative was provided the Duty Line: 619-767-2248.

A copy of this report, appeal rights, and above stated documents were emailed to the Facility Representative, Nanissa Madadi, at the conclusion of this meeting. The Facility Representative will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2