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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401076
Report Date: 03/20/2023
Date Signed: 03/20/2023 12:20:47 PM

Document Has Been Signed on 03/20/2023 12:20 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:LA PETITE ACADEMY INC.FACILITY NUMBER:
197401076
ADMINISTRATOR:COURSON, JEANAFACILITY TYPE:
830
ADDRESS:1709 E. PALMDALE BLVD.TELEPHONE:
(661) 272-3708
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 9DATE:
03/20/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:09 AM
MET WITH:Jeana CoursonTIME COMPLETED:
12:35 PM
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Licensing Program Analyst Neal met with Director, Jeana Courson today for the purpose of conducting an unannounced Annual/Random inspection for the infant center. Infant center consists of 2 room. LPA observed 9 children, 3 teachers in the Infant room and 4 toddlers, 2 teachers in the Toddler. The hours of operation are 6:30 am -6:00 pm Monday - Friday. The center also has a Pre-School and School-age component. Incidental Medical Services (IMS) were discussed.

LPA verified there is at least 1 staff person present with current CPR and First Aid training (exp. 2024).
*Menus were observed and are posted weekly. Allergy lists with pictures of corresponding children were reviewed and found posted on the door in Infant room and in kitchen on cabinets. Food and snacks were reviewed for availability, quantity, proper storage, and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment (2 refrigerators/freezers w/ temperature logs, sink, microwave and stove/oven). Food is kept separate from cleaning supplies. There was 1 additional refrigerator/freezer inside of infant classroom. LPA observed bottles labeled with infant's names and current date.
* Both room's disinfectants, cleaning solutions, poisons and other items that are dangerous or hazardous were inaccessible to children and stored by magnetic lock in cabinets.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY INC.
FACILITY NUMBER: 197401076
VISIT DATE: 03/20/2023
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* Potty training is not done for this age group. Age-appropriate cribs, cots, changing tables and feeding chairs were observed to be clean and in good repair. Staff bathroom is located in the Toddler room. LPA observed sinks within arm’s reach of changing tables, soap and paper towels available.
* All flooring was found to be clean and safe. LPA observed staff wearing disposable booties in the infant room.

LPA observed cubbies for each child with labeled container for personal items. Cots are available for napping. Director states they are sanitized daily (bleach & water) and linens are also washed and changed daily. They are stored separately within the separate cubbies. Center uses an electronic system called Sproutabout to log daily infant activity. LPA observed 6 cribs. Director states there are 6 used as evacuation cribs.


*Teacher/child ratio was observed, care and supervision were discussed, children's records were reviewed, parent board observed and fire drills are current.
*Trash cans/storage containers for solid waste have tight-fitting covers that are kept on, and in good repair. Used diapers are placed in trash container with lid under changing tables.
*First Aid supplies were inventoried (in toddler room cabinet), a review of medication policy, including administering, labeling, and storage.
*Telephone service, heating, lighting and ventilation were evaluated.
*Outdoor area and equipment was inspected for safety, cushioning material, good repair and age appropriateness. There are no bodies of water on the premises and it is completely gated. LPA observed water station for activity play empty while not in use. Drinking water is available as well as shade.
*Isolation area for sick children is located in the front office.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023
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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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY INC.
FACILITY NUMBER: 197401076
VISIT DATE: 03/20/2023
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ADMINISTRATION:
*Director is aware that the Department has full inspection authority as specified in Health and Safety Code 1596.852, 1596.853, and 1596.535.
*There were no excluded individuals present during the inspection; staff present were fingerprint cleared and associated.

A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Director and other administration staff administers medication and documents the dosage, date and time onto a log. Medication is brought and taken home by the parent daily. Medication is properly labeled and stored in its original container.

*Center was found to be operating within its specified ratio and capacity.


*Sign in and Out sheets were reviewed.
LPA observed children’s and contained emergency contact information. Sleeping log was reviewed. The staff did not follow Safe Sleep Regulation to conduct 10-15 minute check since 2/2022.

LPA discussed the following:

Safe Sleep Information: California Department of Public Health – California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023
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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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY INC.
FACILITY NUMBER: 197401076
VISIT DATE: 03/20/2023
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Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Center has Physical separation for each component (101438.3)



Licensee is advised to visit www.shotsforschool.org for Immunization information.
Licensee was informed of responsibility to report suspected Child Abuse, 1-800-540-4000. And Mandated Reporter Training.

Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

Deficiencies cited: (See LIC 809D). The following Type B deficiencies are being cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes.

Exit interview conducted. This report was read and a copy provided to the director Jeana Courson.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023
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Document Has Been Signed on 03/20/2023 12:20 PM - It Cannot Be Edited


Created By: Carol Heath On 03/20/2023 at 11:58 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LA PETITE ACADEMY INC.
FACILITY NUMBER: 197401076

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/20/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101429(a)(2)(B)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited. LPA observed the last time the staff document infant sleep on 2/2023, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/24/2023
Plan of Correction
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The director will have meeting with staff to make sure the staff Check and log-in every 15 minutes.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Claretta Yates
LICENSING EVALUATOR NAME:Carol Heath
LICENSING EVALUATOR SIGNATURE:
DATE: 03/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/20/2023


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