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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300565
Report Date: 02/16/2024
Date Signed: 02/16/2024 12:58:19 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/10/2024 and conducted by Evaluator Jessica M Rubio
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240110154028
FACILITY NAME:LA PETITE ACADEMY.INCFACILITY NUMBER:
336300565
ADMINISTRATOR:SURIATI CAFAROFACILITY TYPE:
850
ADDRESS:36555 VAN GAALE LANETELEPHONE:
(951) 926-1600
CITY:WINCHESTERSTATE: CAZIP CODE:
92596
CAPACITY:144CENSUS: 91DATE:
02/16/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Assistant Director Jacquelyn NegreteTIME COMPLETED:
10:06 AM
ALLEGATION(S):
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Staff does not prevent a daycare child from biting other daycare children
INVESTIGATION FINDINGS:
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On February 16, 2024 at 9:15 am, Licensing Program Analysts (LPA) Jessica Rubio and Jesse Gardner arrived unannounced to La Petite Academy (CCC) and met with Assistant Director, Jacquelyn Negrete to deliver the investigative finding for the above stated allegation. During the investigation, LPA conducted interviews with Director and three staff (S1, S2, S3) as identified on the Confidential Names List (LIC 811) dated February 16, 2024.

On January 10, 2024, a complaint was received alleging staff does not prevent a daycare child from biting other daycare children; specifically, that C1 has bitten several children several times and the CCC has done nothing to intervene or prevent this.

(Continued on LIC 9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 10-CC-20240110154028
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: LA PETITE ACADEMY.INC
FACILITY NUMBER: 336300565
VISIT DATE: 02/16/2024
NARRATIVE
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Record review revealed that C1 began attending the CCC in August 2023 and was attending at the time the complaint was received. Further record review revealed C1 had twenty-nine incident reports on file at the time of review, with twenty-four of them documenting C1 biting other children as well as staff. It was additionally disclosed while LPA was in the facility opening the complaint on 1/17/2024, that C1 bit two different children earlier that day. All interviews revealed that C1 had problems with biting and staff were told to keep an extra eye on C1. The interview with Director revealed, C1’s parents had been talked to about C1’s biting, however, there was no documentation of these conversations nor was there an action plan put into place to address the issue and prevent C1 from continuing to bite other children.

Based on confidential interviews and record review, the preponderance of evidence standard has been met. The department has determined the allegation that staff does not prevent C1 from biting other daycare children is substantiated. The facility is being cited for violation of the California Code of Regulations Title 22 Section 101229(a) Responsibility for Providing Care and Supervision.

An exit interview was conducted and a copy of this report, LIC 811 and appeal rights were provided to Assistant Director Jacquelyn Negrete. A notice of site visit was also provided and must remain posted for 30 days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/10/2024 and conducted by Evaluator Jessica M Rubio
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240110154028

FACILITY NAME:LA PETITE ACADEMY.INCFACILITY NUMBER:
336300565
ADMINISTRATOR:SURIATI CAFAROFACILITY TYPE:
850
ADDRESS:36555 VAN GAALE LANETELEPHONE:
(951) 926-1600
CITY:WINCHESTERSTATE: CAZIP CODE:
92596
CAPACITY:144CENSUS: DATE:
02/16/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Assistant Director Jacquelyn NegreteTIME COMPLETED:
10:06 AM
ALLEGATION(S):
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Staff are not providing adequate supervision to the daycare children
Facility is operating out of ratio
INVESTIGATION FINDINGS:
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On February 16, 2024 at 9:00 am, Licensing Program Analysts (LPA) Jessica Rubio and Jesse Gardner arrived unannounced to La Petite Academy (CCC) and met with Assistant Director, Jacquelyn Negrete to deliver the investigative finding for the above stated allegations. During the investigation, LPA conducted interviews with Director and three staff (S1, S2, S3) as identified on the Confidential Names List (LIC 811) dated February 16, 2024.

On January 10, 2024, a complaint was received alleging staff are not providing adequate supervision to the daycare children; specifically, that staff were not providing supervision when children were playing with an electrical outlet. The complaint also alleged the facility is operating out of ratio; specifically, that the facility is out of ratio in the morning drop-off hours.

(Continued on LIC809C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 10-CC-20240110154028
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: LA PETITE ACADEMY.INC
FACILITY NUMBER: 336300565
VISIT DATE: 02/16/2024
NARRATIVE
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Regarding the allegation that staff are not providing adequate supervision, confidential interviews conducted revealed that there is an electrical outlet in the Twos Room that the children are attracted to and often try to plug power cords into. Staff interviews revealed that they are aware the children gravitate to the area so they do try to keep children away from the area. LPA observed an uncovered electrical outlet near a table with a power cord in the Twos room. At that time, no children were engaged in that area as they were napping. LPA also reviewed evidence of one occasion where a child could be seen attempting to either plug or unplug a power cord from the same outlet. It is unknown if staff redirected the child in any way in the incident.

Regarding the allegation that the facility is operating out of ratio, some interviews with staff revealed there are no issues with operating out of ratio and they have not been out of ratio. Other interviews revealed there may be an approximately 2-3 minute window when they are out of ratio at morning drop off, while waiting for another staff to assist. All interviews revealed that when teachers/classrooms are approaching going over ratio, staff call up front to inform Director so that the Director can step in or have another staff step in to ensure ratios are being met.

Based on conflicting statements, the allegations that staff are not providing adequate supervision to the daycare children and the facility is operating out of ratio may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated. A copy of this report, LIC 811 Confidential Names List and appeal rights were given and explained to Assistant Director Jacquelyn Negrete.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20240110154028
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: LA PETITE ACADEMY.INC
FACILITY NUMBER: 336300565
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/01/2024
Section Cited
CCR
101229(a)
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Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.
This requirement was not met as evidenced by:
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Assistant Director stated that C1 has been been disenrolled as of 1/26/2024. Assistant Director will also provide a plan of action that will be put in place should a similar issue arise and provided to LPA.
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The facility being aware of C1’s biting and not providing adequate supervision to prevent the other children from being bit, which posed a potential health, safety or personal rights risk to 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.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5