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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600102
Report Date: 10/19/2022
Date Signed: 07/17/2023 09:09:10 AM

Document Has Been Signed on 07/17/2023 09:09 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 ACADEMY INCORPORATEDFACILITY NUMBER:
376600102
ADMINISTRATOR:JENNIFER SWEETFACILITY TYPE:
850
ADDRESS:10050 CARMEL MOUNTAIN ROADTELEPHONE:
(858) 484-2654
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 51DATE:
10/19/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Jennifer SweetTIME COMPLETED:
10:15 AM
NARRATIVE
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THIS IS AN AMENDED REPORT DELIVERED ON 7/17/23.
On 10/19/22 at 9:30 AM , LPA Annette Sutherland conducted an unannounced Case Management Inspection due to reported Lead Exceedance levels in the facility's water. LPA met with Director, Jennifer Sweet. There were 50 children and 10 staff members present in the preschool rooms. 
Water outlets reported with 5.5 ppb or greater lead exceedance levels as follows:

Sink A - Classroom  (8.120 UG/L)
Sink B - Classroom  (6.150 UG/L)
Drinking Faucet G Classroom (11300.000 UG/L)
Sink L- Classroom (7.130 UG/L)
Drinking Faucet V - Outside (787.000 UG/L)

LPAs observed  "Do not use" signs posted on the sink faucets during visit. LPA also observed removal of Drinking faucets G & V. Director stated Water testing inspection will be conducted again tomorrow and is not using the sinks until the results show the sink faucet is below the exceedance lead level.

See LIC 809D for Type A deficiency.

LPA Annette Sutherland informed facility representative Jennifer Sweet that this report dated 10/19/22 documents 1 Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA Annette Sutherland informed the facility representative Jennifer Sweet to provide a copy of this licensing report dated 10/19/22 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 07/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2023
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 10/19/2022 10:42 AM - It Cannot Be Edited


Created By: Annette Sutherland On 10/19/2022 at 09:12 AM
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 INCORPORATED
FACILITY NUMBER: 376600102

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
10/19/2022
Section Cited

101700.3(b)(1)

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Written Directives per AB2370: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by:
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Director reported, sink faucets are in exceedance were replaced, and posted a "Do not use" sign until the results in the retest are lower than the exeedance level.
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Based on water testing results and interviews, facility tested over the Lead Exceedance level at 5 sink faucet measuring one at 6.9ppb and the other at 11.0 ppb. Director stated the faucet has been used to fill filtered Brita water pitchers and provided the water to children in the past. 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.
SUPERVISOR'S NAME:Monica Cuddy
LICENSING EVALUATOR NAME:Annette Sutherland
LICENSING EVALUATOR SIGNATURE:
DATE: 10/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/19/2022


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/17/2023 09:09 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 06/22/2023 09:06 AM


Created By: Annette Sutherland On 10/19/2022 at 10:32 AM
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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LA PETITE ACADEMY INCORPORATED
FACILITY NUMBER: 376600102

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/19/2022
Section Cited

1017000.3(b)(1)

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101700.3(b)(1) Written Directives per AB2370: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.

This requirement is not met as evidenced by:
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Deficiency cleared during visit. Water outlets have been made inaccessible drinking fountains (faucets) were capped off. Do not use signs posted on each outlet. Director states sink faucets were replaced and are pending retesting.
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Based on water testing results and interviews, facility tested over the Lead Exceedance level at 3 sinks and 2 drinking fountains (faucets) measuring at 8.120ppb, 6.150 ppb, 11300.000ppb, 7.130ppb, 787,000ppb. This poses an immediate health, safety or personal rights risk to children in care.
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They will not be used until levels are no longer testing in exceedance.

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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:Monica Cuddy
LICENSING EVALUATOR NAME:Annette Sutherland
LICENSING EVALUATOR SIGNATURE:
DATE: 07/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/17/2023


LIC809 (FAS) - (06/04)
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