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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566210591
Report Date: 03/18/2025
Date Signed: 03/18/2025 04:31:06 PM

Document Has Been Signed on 03/18/2025 04:31 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:
566210591
ADMINISTRATOR/
DIRECTOR:
REBECCA DELGADOFACILITY TYPE:
850
ADDRESS:261 WEST STANLEYTELEPHONE:
(805) 652-0917
CITY:VENTURASTATE: CAZIP CODE:
93001
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 30DATE:
03/18/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:05 AM
MET WITH:Rebecca Delgado TIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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Licensing Program Analyst (LPA ) German Negrete conducted an unannounced Case Management- Other (Plan of Correction) Inspection and met with Director Rebecca Delgado. LPA toured the Facility with Director inside and out. During the Tour LPA observed 30 children present and 4 staff providing care and supervision The purpose of the inspection was discussed with the Director. LPA conducted the Case Management inspection due to the citations issued on 02/12/25, under a Complaint investigation – out of ratio.

At 11:31AM LPA reviewed children sign in and out sheets(electronic). All children present had a sign in time stamp as well as the signatures of their authorized representatives.

During the visit LPA conducted staff and children records/file review. The children's records were complete 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.

Exit interview was conducted and report was read to Director.

LPA provided LIC9224 to Director.

Notice of site visit was provided and must remain posted in a publicly accessible area at the facility.
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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