<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000854
Report Date: 07/06/2023
Date Signed: 07/06/2023 09:33:29 AM

Document Has Been Signed on 07/06/2023 09:33 AM - 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:
198000854
ADMINISTRATOR:KAMAL GUPTAFACILITY TYPE:
840
ADDRESS:722 SO. GRAND AVE.TELEPHONE:
(909) 860-4009
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY: 28TOTAL ENROLLED CHILDREN: 18CENSUS: 3DATE:
07/06/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:36 AM
MET WITH:POCTIME COMPLETED:
09:35 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Plan of correction inspection conducted by Licensing Program Analyst Jennifer Hua. The purpose of this vsit is to follow on the deficiency cited on 6/21/23. LPA entered the facility and was greeted by teacher Harinder Gill. The purpose of the visit was announced. Teacher Gill allowed LPA to enter the classroom. Per teacher, director is out this week. At 8:38am, LPA toured the facility and observed the following: School-age room - 3 children with 1 staff. During the visit, LPA observed more children arrived. LPA inquired if more children will be coming, teacher Gill stated yes, and there is 1 staff that is on break and 2 additional staff are coming. 1 staff is scheduled to come at 10:00am and 1 staff schedule to come at 11:00am

LPA also observed Type A citation report and Notice of Site Visit form dated 6/21/23 are posted on the wall upon entry of the facility.

Based on observation, deficiency is corrected at this time.

An exit interview conducted with Teacher Gill.

Notice of Site Visit form provided and shall be posted in a prominent area for 30 days or a civil penalty of $100 will be assessed.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jennifer Hua
LICENSING EVALUATOR SIGNATURE: DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1