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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566210590
Report Date: 10/05/2022
Date Signed: 10/05/2022 03:35:10 PM

Document Has Been Signed on 10/05/2022 03:35 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
566210590
ADMINISTRATOR:REBECCA DELGADOFACILITY TYPE:
830
ADDRESS:261 W. STANLEYTELEPHONE:
(805) 652-0917
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 18DATE:
10/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Rebecca HernandezTIME COMPLETED:
10:58 AM
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On October 05, 2022 at 9:37 AM, Licensing Program Analyst (LPA) Rona Chavez conducted an unannounced Case Management inspection to follow-up on an Action Level Exceedance (ALE) reported to the Regional Office by Division of Drinking Water (DDW). LPA met with facility Director, Rebecca Hernandez and advised her the purpose of the inspection. Director provided LPA a tour of the facility. There were 18 children in care at the time of the inspection.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five (5) years after the date of the first test. If the water testing results indicate that the facility has an ALE, an immediate response shall be required pursuant to section 101704, which may include remediation.

The Regional Office received an ALE for two (2) water outlet in this facility. The Center was notified by LPA Chavez of the results on September 29, 2022 by phone and email. LPA advised Director that location (C) had an ALE of 22.0 ppb and location (F) had an ALE of 11.3 ppb. Director advised the location had been secured preventing children/staff from having access.

During today’s inspection, LPA toured the entire facility and inspected the outlets in question. The outlets were located in infant class #1 and infant class #2 sinks. LPA observed that the two (2) outlets were secured and labeled not to use. Director stated that since she has worked her prior to being director, over 6 years ago, the outlets have never been used for the infants for drinking or for cooking.

Cont on LIC 809-C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Rona Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/05/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 566210590
VISIT DATE: 10/05/2022
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The outlets are not accessible to the children as they are unable to reach or drink from faucet. Center provides bottled water to the entire facility. Director provided invoices for purchased bottled water from 2019 and 2020. Infants do not drink from fountains and use bottles and sip cups. Feeding Policy for the infants is that parents are to bring premixed formula bottles daily from home to facility. LPA viewed the labeled pre-made bottles in the refrigerator in the classroom. The older children in the infant program use the purchased bottle water and sip cups provided by parents. Director provided copy of Infant Feeding procedures policy.

Director reported that the two (2) outlets were replaced on 9/27/2022. Retest has been scheduled for 10/19/2022 and 10/20/2022. LPA advised Director that children must not have access to the outlet until the retest is conducted and ALE is in compliance.

LPA provided a copy of PUB 515 and shared the following resources quick references:

Quick references:
· PIN 22-06-CCP - Lead Testing in Child Care Centers – Frequently Asked Questions
· PIN 21-21-CCP - Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers Per AB 2370

No deficiency was cited during today's inspection.

Exit interview conducted and report was reviewed with Director Rebecca Hernandez
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Rona Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022
LIC809 (FAS) - (06/04)
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