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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393600860
Report Date: 03/03/2022
Date Signed: 03/03/2022 10:23:54 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/14/2021 and conducted by Evaluator Elvira Sierra
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20211214155841
FACILITY NAME:LA PETITE ACADEMY - LODIFACILITY NUMBER:
393600860
ADMINISTRATOR:PROUTY, MELISSAFACILITY TYPE:
850
ADDRESS:1910 W. KETTLEMAN LN.TELEPHONE:
(209) 368-0303
CITY:LODISTATE: CAZIP CODE:
95240
CAPACITY:107CENSUS: 47DATE:
03/03/2022
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Melissa ProutyTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Lack of supervision staff failed to provide adequate supervision, resulting in a child being injured.
INVESTIGATION FINDINGS:
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On Thursday, March 3, 2022, Licensing Program Analyst (LPA) Elvira Sierra and Licensing Program Manager (LPM) Bettina Engelman conducted a complaint investigation visit and met with Director, Melissa Prouty. The purpose of the inspection visit is to deliver the finding for the above allegation. Upon arrival to the facility LPA inspected all areas accessible to children, took census and conducted observations. LPA observed 5 staff members supervising 47 children.

The Reporting Party (RP) alleged staff failed to provide adequate supervision, resulting in child # 1 (C1) being injured. LPA Sierra conducted the investigation and interview multiple staff members, parents, obtained pertaining documents and observed the care and supervision of the children. During each visit, LPA observed appropriate care and supervision and staffing ratios. LPA learned that staff documents child injuries and that parents are notified when children get hurt. Staff monitor the children and promptly address and report child injuries and behavior concerns. Child files that were reviewed did not contain an unusual amount of Ouch Reports, and parents who were interviewed did not express concern regarding the alleged lack of supervision.
Report continues on subsequent page 809C---
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
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 53-CC-20211214155841
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: LA PETITE ACADEMY - LODI
FACILITY NUMBER: 393600860
VISIT DATE: 03/03/2022
NARRATIVE
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Interviews conducted, revealed inconsistent information regarding the supervision at the facility. Although C1 potentially sustained injuries, it was not conclusive it was due to a lack of supervision. Based upon interviews conducted and observations while at the facility, there is not a preponderance of evidence to prove or disprove the allegation did or did not occur, therefore the above allegation is found to be UNSUBSTANTIATED.

The report was reviewed with the Director, Melissa Prouty and an exit interview was conducted. Appeals of Rights and Notice of site visit were provided. Notice of Site visit to be posted for 30 days.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3