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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270091
Report Date: 10/25/2024
Date Signed: 10/25/2024 02:00:19 PM

Document Has Been Signed on 10/25/2024 02:00 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
304270091
ADMINISTRATOR/
DIRECTOR:		BARBARA BROWNFACILITY TYPE:
830
ADDRESS:19860 BEACH BOULEVARDTELEPHONE:
(714) 962-0339
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY: 28TOTAL ENROLLED CHILDREN: 23CENSUS: 17DATE:
10/25/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Director Mary ZenkTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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On 10/25/2024 at 11:45am, Licensing Program Analyst (LPA), Jung, conducted an unannounced case management inspection to follow up on an incident that was self-reported to the Department. Upon arrival, LPA met with Director, Mary Zenk. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 17 infant children, one (1) assistant director, and two (2) infant teachers present. Hours of operation are Monday through Friday 6:30 a.m. to 6:00 p.m.

On 10/18/24, facility reported to the Regional Office (RO) that Staff 1 (S1) was observed pushing down Child 1’s (C1) head onto their nap cot during nap time. S1 was also observed grabbing C1 by their overalls to remain on the cot. Parent of C1 observed the incident via the facility’s security cameras and communicated the incident to the facility administrative staff.

On 10/25/24, LPA conducted a case management inspection and interviewed two facility staff. LPA was provided with documentation pertinent to the investigation. Facility was cited one Technical Violation for Reporting Requirements as the facility did not notify the department of a director change within 10 days as required by child care regulation.

Based on the information obtained and interviews conducted, one Type A citation for Personal Rights is being cited on the LIC 809D. LPA informed Director, Mary Zenk, that this report dated 10/25/24 documents one (1) Type A citation. Type A citations shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. LPA informed the Director, Mary Zenk, to provide a copy of this licensing report dated 10/25/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Mary Zenk.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
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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Document Has Been Signed on 10/25/2024 02:00 PM - It Cannot Be Edited


Created By: Soo Jin Jung On 10/25/2024 at 01:05 PM
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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LA PETITE ACADEMY
FACILITY NUMBER: 304270091

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/08/2024
Section Cited
CCR
101223(a)

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101223 Personal Rights(c): The licensee shall ensure that each child is accorded the personal rights... This requirement is not met evidenced by:
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Director stated they will make sure each staff has been trained properly in handling children and utilize communication with fellow staff if assistance is needed. Director stated they will conduct a staff meeting regarding the above topics and submit written proof to LPA by due date.
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Based on interviews and record reviews, facility did not ensure that each child was accorded their personal rights, which poses an immediate risk to the health, safety and personal rights to the children in care.
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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:Martha Malane
LICENSING EVALUATOR NAME:Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2024


LIC809 (FAS) - (06/04)
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