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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600099
Report Date: 08/28/2024
Date Signed: 08/28/2024 12:38:57 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/16/2024 and conducted by Evaluator William M Chancellor Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240816140803
FACILITY NAME:LA PETITE ACADEMY INCORPORATEDFACILITY NUMBER:
376600099
ADMINISTRATOR:RIVAS, OBDOLIAFACILITY TYPE:
850
ADDRESS:725 SHADOWRIDGE DR.TELEPHONE:
(760) 727-0648
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY:96CENSUS: 62DATE:
08/28/2024
UNANNOUNCEDTIME BEGAN:
12:31 PM
MET WITH:Michelle McKim, DirectorTIME COMPLETED:
12:55 PM
ALLEGATION(S):
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Facility staff handled day care child in an inappropriate manner.
INVESTIGATION FINDINGS:
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 On August 28, 2024, at 12:31PM, Licensing Program Analyst (LPA), William Chancellor arrived unannounced to La Petite Incorporated (CCC) and met with Director (DIR) Michelle McKim to discuss the investigative findings of the allegation listed above. On August 22, 2024, at 9:10 AM LPA conducted a tour, took census of the CCC and gathered evidence relevant to the investigation. During the investigation, LPA made observations and conducted confidential interviews with six staff (S1-S6) . This complaint corresponds with complaint # 10-CC-20240730082535.
On August 16, 2024, a complaint was received alleging that Facility staff handled day care child in an inappropriate manner. Specifically, that Staff 1 (S1) pushed Child 1 (C1) into a corner and physically forced them to stop jumping while in line. Interviews and record review corroborated that S1 was in fact physical towards C1. Staff 2 (S2) witnessed the incident and Director McKim confronted S1. Immediately without being questioned, S1 became defensive and stated that they did not touch C1. Never showing signs of remorse or empathy towards C1 who was visibly shaken and emotional, S1 was escorted to the front office. Director McKim called Community Care Licensing (CCL) to report an Unusual Incident and notified C1 parents. Interview with S2 and C1 confirmed that S1, in fact did put their hands on C1 and forced them into a corner.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
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 10-CC-20240816140803
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: LA PETITE ACADEMY INCORPORATED
FACILITY NUMBER: 376600099
VISIT DATE: 08/28/2024
NARRATIVE
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Based on confidential interviews and record review, the allegation that that Facility staff handled day care child in an inappropriate manner, the preponderance of evidence standard has been met and the allegation is substantiated. The facility is in violation of Title 22, Section 101223 (a)(3) Personal Rights, which poses an immediate health, safety and/or personal rights risk to children in care.

An exit interview was conducted, a copy of this report, 9099D & appeal rights, along with a Notice of Site Visit was handed to Director, Michelle McKim. Due to the Type A citation, an LIC 9224 was provided. The form must be signed by parents and kept on file. A notice of site visit was also provided and must remain posted for 30 consecutive days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20240816140803
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: LA PETITE ACADEMY INCORPORATED
FACILITY NUMBER: 376600099
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/29/2024
Section Cited
CCR
101223(a)(3)
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(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...
This requirement was not met as evidenced by:
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By COB 8/29/24, Director will email LPA proof that S1 has been disassociated from Guardian and timesheets to show S1 has not returned to CCC. Director will also email LPA a Personal Rights training or redirective strategies including a sign-in sheet.
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Based on interviews and record review, S1 violated the personal rights of C1 by pushing the child into a corner in front of other daycare children and staff. This poses an immediate health, safety and 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: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3