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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600096
Report Date: 07/17/2024
Date Signed: 07/17/2024 02:06:05 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
04/29/2024 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20240429084939
FACILITY NAME:LA PETITE ACADEMY - EAST JFACILITY NUMBER:
376600096
ADMINISTRATOR:TARA REESEFACILITY TYPE:
850
ADDRESS:798 EAST J STREETTELEPHONE:
(619) 421-0966
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:108CENSUS: 80DATE:
07/17/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Angelica ValderramaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Child sustained unexplained injury while in care

Facility did not report child's injury to parent
INVESTIGATION FINDINGS:
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On 7/17/24 at 11:00am, Licensing Program Analyst LPA Adrian Castellon conducted an unannounced inspection to deliver complaint findings for the allegations listed above. LPA met with assistant director Angelica Valderrama to discuss the purpose of the inspection and toured the facility. Based on the interviews conducted and pictures obtained the allegations are substantiated. As such, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Child in care was bitten and the incident was not observed or reported to parent representative. Violations of the California Code of Regulations, Tittle 22, are being cited on the attached LIC9099D. One Type A citation is issued and one Type B citation issued. Exit interview was conducted, report reviewed, and Appeal Rights discussed with assistant director. LPA informed assistant director to provide a copy of this report that documents Type A citation to parents/guardians of children currently enrolled by the next business day or the next day children are in care, and to newly enrolled parents/guardians for 12 months from this date. LPA discussed LIC9224 process.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
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 3
Control Number 20-CC-20240429084939
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 - EAST J
FACILITY NUMBER: 376600096
VISIT DATE: 07/17/2024
NARRATIVE
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A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file. A Notice of Site Visit was given and must remain posted on, or immediately next to, interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 20-CC-20240429084939
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 - EAST J
FACILITY NUMBER: 376600096
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/17/2024
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections
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Staff meeting will be held on 7/20/24 where where regulation number will be discussed. Company policy regarding supervision will also be discussed. Facility will submit a signed meeting agenda.
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101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by child in care was bitten and bite was not observed by staff members present in the classroom. This poses an immediate threat to the health and safety of children in care.
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Type B
08/02/2024
Section Cited
CCR
101226.3(b)
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101226.3 Observation of the Child: (b) Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record.
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Staff meeting will be held on 7/20/24 where where regulation number will be discussed. Company policy regarding reporting requirements will also be discussed. Facility will submit a signed meeting agenda.
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This requirement was not met as evidenced by child in care was bitten and the bite was not reported to the child's representative in a timely manner. This may pose a threat to the health and safety of 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: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3