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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270089
Report Date: 10/22/2021
Date Signed: 10/22/2021 04:28:54 PM

Document Has Been Signed on 10/22/2021 04:28 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
304270089
ADMINISTRATOR:BARBARA BROWNFACILITY TYPE:
850
ADDRESS:19860 BEACH BOULEVARDTELEPHONE:
(714) 962-0339
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY: 108TOTAL ENROLLED CHILDREN: 108CENSUS: 36DATE:
10/22/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Barbara Brown, DirectorTIME COMPLETED:
04:45 PM
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On 10/22/2021, at 8:40 a.m., Licensing Program Analyst (LPA) Alanna Gontarek conducted an unannounced Annual Inspection and met with Assistant Director, Michiko Henessey upon arrival. LPA disclosed the purpose of the inspection and was granted entry into the facility. Director, Barbara Brown arrived at facility at 9:05 a.m. The Director and Assistant Director accompanied LPA inside and out of the facility during this inspection. Thirty-six (36) children and eight (9) staff were present in the facility during this inspection. Facility operation hours are Monday to Friday from 6:30 a.m. to 6:00 p.m. LPA observed staff, children, and children's authorized representatives wearing face masks per the Department of Public Health's current guidance.

All areas identified on the Facility Sketch were inspected. Upon arrival, the following staff were present during this inspection: Room 1 ("Pre-K Room"): 1 Staff member with 7 preschoolers; Room 2 ("2's Room"): 2 Staff member with 12 preschoolers; Room 3 ("Preschool Room"): 2 Staff members with 8 preschoolers; Room 4 ("Early Preschool Classroom"): 1 Staff member with 9 preschoolers. LPA observed one kitchen staff preparing food in kitchen. The following was observed during the tour of the facility:

PHYSICAL PLANT


Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubbies to store their belongings. Linens are taken home each week to be washed. Napping equipment (cots) were observed in a separate storage room (Toddler Room closet). Per director, the isolation area is located in the office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in classrooms. LPA observed each room to have a small water pitcher and disposable cups for children to access. LPA observed the facility to have a functioning smoke and carbon monoxide detector that meets the standards established in Chapter 8 of Part 2 of Division 12.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Page 1
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2021
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 304270089
VISIT DATE: 10/22/2021
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LPA observed disinfectants and cleaning sprays located in each room in an upper cabinet. Director states there are no poisons on the premises. LPA advised Assistant Director and Director that storage areas for poisons must be locked with a key or combination lock. Medication is stored in the kitchen in an upper cabinet, inaccessible to children in care via key lock. LPA observed medications. Per Director, one child does not attend the center any longer and the other child is currently attending. LPA observed no expired medications.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. LPA inspected all refrigerated food items and dry food items. LPA observed food to be in good quantity and quality. All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids or solid waste bags shall be discarded immediately after each meal. LPA observed the floors to be clean and safe.

At 9:46 a.m., LPA inspected the outdoor play yard. The outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. LPA observed a large tarp used for shade. Availability of outdoor drinking water was observed. Per Director, there are no bodies of water or firearms on the premises. LPA advised Director and Assistant Director to ensure staff to have 100% proper and visual supervision.

FACILITY RECORDS

All individuals present have obtained a criminal record clearance or criminal record exemption. LPA observed at least one person trained in CPR and Pediatric First Aid present during this inspection. Children’s Records were reviewed for completeness; Inspection of required forms was made. In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. Sign-In and Sign-Out sheets were reviewed. LPA advised staff to have child’s authorized representative sign their child(ren) in and out, and include a full signature and record the time of day. Children present were signed in, and LPA observed children's authorized representatives complete signatures on the Sign In and Sign Out sheets.

LPA reviewed staff files, including Health Screenings, and Children's roster. LPA observed each child’s

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2021
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 304270089
VISIT DATE: 10/22/2021
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file to contain a medical assessment. LPA observed all personnel to be in good health, and are physically and mentally capable of performing assigned tasks. LPA advised Director and Assistant Director that personnel posing a threat to the health and safety of children shall be relieved of their duties. Disaster drill log was available, and last drill was conducted on 10/11/2021. First Aid supplies were observed in each room in a red emergency bag. Per Assistant Director, most current on-the-job training is regarding positive behavior, health and safety, nap time procedures, and sanitation principles dated 10/11/2021. LPA observed staff to have current Mandated Reporter Training. LPA observed staff immunization records (Influenza, Measles, and Pertussis).

Menus are posted one week in advance where it is visible by the child's authorized representative. Snacks were reviewed for availability, quantity and appropriateness to children in care. Facility prepares and provide lunch. Per Director, one child brings own lunch from home, labeled and stored in kitchen, due to preferences. The facility provides AM and PM snack.

According to Director, medication is only administered to a child when accompanied with a prescription label on the box/medication and is stored in locked medication box or refrigerator (if needed). Per Director, non-prescription and prescription medications are accompanied with a form, provided by school, for child's authorized representative to complete.

Medication:

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. LPA advised licensee of the Mandated Reporter Child Care Training that became in effect January 1, 2018, and to maintain a copy of the certificate on file for each staff. The training must be completed every 2 years. New employees shall have 90 days from date of employment to complete training as required. The training may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules at: http://www.mandatedreporterca.com/. Lead flyer was also provided.

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 304270089
VISIT DATE: 10/22/2021
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Director and Assistant Director were reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Barbara Brown and Assistant Director, Michiko Hennessey.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at: www.cdss.ca.gov/inforesources/community-care-licensing/process.

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4