336301048-5-20-2025-10-CC-DMUN-DKCMED-20250808093232

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336301048
Report Date: 05/20/2025
Date Signed: 05/20/2025 04:13:29 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
04/15/2025 and conducted by Evaluator Hayley McCarthy

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20250415143429

FACILITY NAME:	LA PETITE ACADEMY		FACILITY NUMBER:	336301048
ADMINISTRATOR:	CAFARO, SURIATI		FACILITY TYPE:	860
ADDRESS:	36555 VAN GAALE LANE		TELEPHONE:	(951) 926-1600
CITY:	WINCHESTER	STATE: CA	ZIP CODE:	92596
CAPACITY:	122	CENSUS:	DATE:	05/20/2025
		UNANNOUNCED	TIME BEGAN:	03:41 PM
MET WITH:	Jacquelyn Negrete, Acting Director		TIME COMPLETED:	04:22 PM

ALLEGATION(S):

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Facility staff do not notify parent/guardian of day care child's injury in a timely manner.
Facility staff did not adequately supervise day care children resulting in an unexplained injury.

INVESTIGATION FINDINGS:

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On April 15, 2025, a complaint was received alleging facility staff do not notify parent/guardian of day care child's injury in a timely manner and facility staff did not adequately supervise day care children resulting in an unexplained injury. Specifically, it was disclosed that child 1 (C1) was choked by another child in care and that staff failed to notify the parent. Staff 2 (S2) was interviewed and stated C1 and another child were playing and that the other child was not harming or injuring C1. S2 also indicated C1 did not sustain any injuries as a result of the children playing.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Hayley McCarthy
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2025

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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Control Number 10-CC-20250415143429

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: LA PETITE ACADEMY	FACILITY NUMBER: 336301048
	VISIT DATE: 05/20/2025

NARRATIVE

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Based on LPA’s observations, record review and interviews which were conducted the allegation that facility staff do not notify parent/guardian of day care child's injury in a timely manner and facility staff did not adequately supervise day care children resulting in an unexplained injury is unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Appeal rights were issued and discussed with licensee and their signature on this form acknowledges receipt of these rights.

Exit interview was conducted and report was reviewed by Interim Director, Jaquelyn Negrete. A notice of site visit was given to licensee and must remain posted on, or immediately adjacent to the interior side of the main door for 30 days. The report must be made available to the public for three years. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Hayley McCarthy
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2025

LIC9099 (FAS) - (06/04)

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