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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566210590
Report Date: 03/18/2025
Date Signed: 03/18/2025 12:21:40 PM

Document Has Been Signed on 03/18/2025 12:21 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
566210590
ADMINISTRATOR/
DIRECTOR:
REBECCA DELGADOFACILITY TYPE:
830
ADDRESS:261 W. STANLEYTELEPHONE:
(805) 652-0917
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 6DATE:
03/18/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:13 AM
MET WITH:Rebecca DelgadoTIME VISIT/
INSPECTION COMPLETED:
11:05 AM
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On 3/18/2025 ,Licensing Program Analysts (LPA) German Negrete conducted an unannounced Annual/Random inspection of the above mentioned Infant Center (Facility). LPA met with Rebecca Delgado, Director of the Infant Center. LPA explained the purpose and nature of the inspection. The infant program operates Monday – Friday 6:30AM to 6PM. Currently the facility utilizes two rooms for infant care services. At the time of inspection, LPA observed 2 staff providing care and supervision to 6 infants. The Facility Director is assisting with the care and supervision of infants on site.

LPA observed required licensing forms and documents posted near the main door entry. A menu is also posted in a visible location. The facility Sign In/Out forms were reviewed by LPA. The forms contained the arrival and departure times of infants in care and well as the signatures of the infants's authorized representatives. The classroom is observed to be clean and orderly. The classroom have age-appropriate equipment and furnishings available to infants in care. The Facility has multiple carbon monoxide detectors and smoke detectors. LPA did test the carbon monoxide detector and smoke detector at 11:04am.



LPA verified Facility utilizes changing tables for infants. Changing tables have soft padded surfaces. Also LPA verified there is one sink for every 15 infants in the classrooms. LPA observed a operable refrigerator in the kitchen. If required, the refrigerator is used for food or medicine storage. The Facility provides snacks to infants three times a day. Lunch is provided to infants in care at this Facility. The Facility also has available filtered drinking water for infants inside the facility. LPA verified most recent disaster drill was conducted on 1/24/2025. Centers constructed before 1/1/20, to test their water (used for drinking and food preparation) for lead contamination before 1/1/23, and then every 5-years except after the date of the first test. For child care centers licenses issued after 7/1/22, the licensee shall test their water for (CONT LIC809-C, )
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 566210590
VISIT DATE: 03/18/2025
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lead within 180 days of censure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). Today LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. The facility tested their water on 10/28/2022.

Disinfectants, cleaning solutions and sharps are observed in locations accessible to staff members but inaccessible to infants in care.

The Facility outdoor playground areas is enclosed by fencing. The fence’s entry/exit gates are secured. The surfaces of the outdoor playground areas are varied. LPA observed age appropriate play equipment in the play areas. The play equipment is free of sharp, loose or pointed objects. The play structures in the outdoor playground areas have adequate cushioning materials to absorb falls. No bodies of water are observed on site.

A sampling of staff(4 files) and infant records(5 files) were reviewed. The infants records were complete(except for safe sleep) and found to contain emergency contact information, among other required licensing documentation and forms. Staff records were reviewed and found complete. LPA reviewed Mandated Reporter training certifications for staff and found Mandated Reporter Training certification is up to date . Director was reminded to ensure training certification are kept current. Director stated, no firearms or ammunition are stored on site.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/

Facility representative was reminded that all adults 18 and over, including employees and volunteers,
as specified in HSC section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. (CONT. LIC809-C)
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 566210590
VISIT DATE: 03/18/2025
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Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA discussed the safe sleep regulations with Diretor and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and- resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

A technical violation was issued today.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC809 (FAS) - (06/04)
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