313623847-5-28-2025-03-CC-MLOR-DHTRWG-20250620132309

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313623847
Report Date: 05/28/2025
Date Signed: 05/28/2025 01:05:38 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/24/2025 and conducted by Evaluator Jeremey McClain

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20250424140750

FACILITY NAME:	LA PETITE ACADEMY - EUREKA		FACILITY NUMBER:	313623847
ADMINISTRATOR:	COURTNEY WILLIAMS		FACILITY TYPE:	830
ADDRESS:	1800 EUREKA RD		TELEPHONE:	(916) 783-7700
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95661
CAPACITY:	35	CENSUS: 18	DATE:	05/28/2025
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Courtney Williams		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff does not ensure infant bottles are properly labeled
Staff left a blanket over an infants head while child was crying on the floor
Staff did not transition an infant to a crib when they were sleep

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jeremey McClain met with facility representative Courtney Williams to deliver findings for a complaint investigation. LPA observed seven infants supervised by two staff in one classroom, and 11 napping infants supervised by two staff in another classroom.
The following was alleged: 1)Staff does not ensure infant bottles are properly labeled. 2)Staff left a blanket over an infant’s head while the child was crying on the floor. 3)Staff did not transition an infant to a crib when they were sleeping.
During the investigation LPA made observations of food storage, conducted staff file review, and conducted interviews with staff and parents.
Although there is evidence to suggest that the allegations are true or has happened, the preponderance of evidence standard has not been met. Because the standard has not been met, the allegations can neither be corroborated nor dismissed. Therefore, the allegations are determined to be unsubstantiated.
No Title 22 deficiencies will be issued as a result of the investigation. LPA reviewed this report with facility representative Hailly Fox and provided a Notice of Site Visit that must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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