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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401085
Report Date: 03/07/2024
Date Signed: 03/07/2024 02:18:20 PM

Document Has Been Signed on 03/07/2024 02:18 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:LA PETITE ACADEMY INC.FACILITY NUMBER:
197401085
ADMINISTRATOR:WARD, AIMEEFACILITY TYPE:
850
ADDRESS:43741 CHALLENGER WAYTELEPHONE:
(661) 945-1800
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 66DATE:
03/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Aimee WardTIME COMPLETED:
02:20 PM
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Licensing Program Analyst (LPA) Joselito L. Del Mundo conducted a case management inspection at La Petite Academy Inc. LPA met with Director Aimee Ward and was allowed access to the facility. LPA stated purpose of the inspection was to follow-up on a self-reported Unusual Incident Report (UIR) that happened on 02/28/2024 at the center. The investigation included an inspection of the facility where the incident occurred, facility records, and confidential interviews with staff members. LPA interviewed the parent of the child (C1) who stated that the center notified her of the incident. LPA was provided with copies of the Attendance Log dated 03/07/2024 and 02/28/2024, and the Face-to-Name Transition Sheet dated 02/28/2024.

During this visit, LPA observed 66 preschool children with 8 staff members providing care and supervision.

Based on the information gathered, the incident happened on 02/28/2024 at 11:21 A.M. when the children were transitioning to the classroom There are eleven children present with two staff members (Staff 1 and 2) providing care and supervision to children. Staff 1 was calling each child’s name on the Face-to-Name Transition Sheet while staff 2 was gathering the children and line them up by the door. After the child’s name was called, the child sneaks out and run back to the playground unnoticed. The children were inside the classroom and were getting ready for lunch when the child was reported missing. The staff admitted that they had miscounted the children. The child was later found in the outdoor play area.

Based on the evidence gathered and records review, teacher’s qualifications and teacher to child ratio was met. LPA also observed the play structure has a concrete wall and a metal gate that is
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2024
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LA PETITE ACADEMY INC.
FACILITY NUMBER: 197401085
VISIT DATE: 03/07/2024
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inaccessible from the outside. The Face-to-Name Transition Sheet was reviewed by management, and the staff were monitoring the children every 15 minutes. There is also a scheduled meeting and retraining for staff in the following weeks. No deficiencies were cited as a result of this self-reported unusual incident report.

A LIC 9213 Notice of Site Visit was left at facility and must be posted for 30 days. Failure to do so will result in an immediate civil penalty assessment of $100.00.



An exit interview was conducted, Appeal Rights and a copy of this report were provided to Director Aimee Ward.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
LIC809 (FAS) - (06/04)
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