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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600096
Report Date: 05/08/2024
Date Signed: 05/08/2024 02:39:30 PM

Document Has Been Signed on 05/08/2024 02:39 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LA PETITE ACADEMY - EAST JFACILITY NUMBER:
376600096
ADMINISTRATOR/
DIRECTOR:		TARA REESEFACILITY TYPE:
850
ADDRESS:798 EAST J STREETTELEPHONE:
(619) 421-0966
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 108TOTAL ENROLLED CHILDREN: 108CENSUS: 92DATE:
05/08/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Tara ReeseTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
NARRATIVE
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On 05/8/2024 at 12:00 PM, Licensing Program Analyst (LPA) Adrian Castellon conducted a case management inspection to follow up on an incident that occurred on 03/19/2024. LPA advised Director Tara Reese of the purpose of the inspection. There were 92 children present.

Child #1 exited the 2's Classroom without the knowledge of the staff present in the classroom. During transition from outdoor to indoor and during face to name, C1 ran out as door was closing. Staff #1 and Staff #2 did not observe C1 leave the classroom and were made aware by C1's mother who was present in the classroom. Child was immediately brought in to the classroom. The incident was self reported by the facility and LIC624B was received by the Licensing office. There were 15 children with 2 staff during the incident. LPA interviewed S1. S2 is no longer employed at the facility.

Type B citation issued on this date. Please see LIC809D.

Staff was provided with A Notice of Site Visit (LIC 9213), which is to be posted for thirty (30) days. LPA will electronically provide staff with this form. An exit interview was conducted with lead teacher. A copy of this report was given to lead teacher. Appeal rights will also be electronically given within 24 hours.


SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/08/2024 02:39 PM - It Cannot Be Edited


Created By: Adrian Castellon On 05/08/2024 at 12:29 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
, 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: 05/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/08/2024
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 101216.2(e)(1) and 101230(c)(1). Supervision
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Director held an EQI meeting on 3/23/24 where supervision requirements were discussed. Director submitted notes of meeting.
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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 exited the class without staff knowledge. 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.
SUPERVISOR'S NAME:Cynthia Gray
LICENSING EVALUATOR NAME:Adrian Castellon
LICENSING EVALUATOR SIGNATURE:
DATE: 05/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/08/2024


LIC809 (FAS) - (06/04)
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