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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000853
Report Date: 09/22/2022
Date Signed: 09/22/2022 12:21:46 PM

Document Has Been Signed on 09/22/2022 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LA PETITE ACADEMY INC.-GRAND AVE.FACILITY NUMBER:
198000853
ADMINISTRATOR:KAMAL GUPTAFACILITY TYPE:
850
ADDRESS:722 SO. GRAND AVE.TELEPHONE:
(909) 860-4009
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY: 118TOTAL ENROLLED CHILDREN: 36CENSUS: 27DATE:
09/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Kamal GuptaTIME COMPLETED:
12:25 PM
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Licensing Program Analyst (LPA) Jennifer Hua conducted an unannounced case management inspection on 9/22/2022. A COVID 19 risk assessment was conducted prior to entering the facility. LPA arrived at the facility at 9:20am and met with Director Kamal Gupta, who provided a tour of the facility. There were 27 children and 3 staff present during the inspection.

The purpose of today's inspection is to go over the water lead test results received on 8/28/2022. Results indicate that the water fountain and the faucet had action level exceedance of lead. The water fountain located in the playground had a lead result of 21.1 ppb. The faucet located in the twos classroom sink next to the diaper changing table had a lead result of 25.8 ppb. LPA observed the water fountain located on the playground has been completely removed. LPA observed the faucet next to the diaper changing table in the twos classroom has been replaced. LPA spoke with the director who stated that the water fountain has never been used for water consumption or food preparation source. The facility has always purchased bottled water from US Food twice a month and as needed. Director also stated when children are outside, the bottled water and cups are brought outside for children.. Facility has bottled water delivered. LPA observed bottled water and cups in all classrooms (twos, Pre-K, PS) available for children. LPA also observed many bottled water in the pantry. Director stated the faucet next to the diaper changing table in the twos classroom has never been used for water consumption or food preparation source. The faucet is only used for hand washing as it is located next to the diaper changing table. During this visit Director provided LPA completed copy of LIC 9276, LIC 9275, the facility sketch, photos to show that water fountain has been removed, faucet has been replaced, bottled water in pantry and receipts of bottled water purchased.

Per Director, retesting has been scheduled on 10/5/2022 & 10/6/2022.

Based on LPA's observation and information received. No deficiency cited.
Exit interview conducted and report was reviewed with the Facility Representative Kamal Gupta. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jennifer Hua
LICENSING EVALUATOR SIGNATURE: DATE: 09/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/22/2022
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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