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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343600873
Report Date: 10/25/2022
Date Signed: 10/25/2022 03:12:55 PM

Document Has Been Signed on 10/25/2022 03:12 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:LA PETITE ACADEMY - CITRUS HEIGHTSFACILITY NUMBER:
343600873
ADMINISTRATOR:JENKINS, JULIEFACILITY TYPE:
850
ADDRESS:8008 OLD AUBURN ROADTELEPHONE:
(916) 723-3094
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: 77TOTAL ENROLLED CHILDREN: 77CENSUS: 46DATE:
10/25/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Julie Jenkin TIME COMPLETED:
03:25 PM
NARRATIVE
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At 2:15 p.m. on Tuesday October 25th, 2022, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Julie Jenkins, for the purpose of a case management inspection. LPA observed a census of 46 children and 5 staff.

During today’s inspection, LPA followed up regarding water sampling that indicated an Action Level Exceedance (ALE) for water faucets that were tested for lead levels. C, E, F, H, I, and P were in lead level exceedance, greater than 5.5 ppb. Director stated that faucet P is an outdoor drinking fountain. Corrective action was taken to cap all outdoor fountains. LPA observed a water jug outdoors with cups and children's water bottles. Director stated that faucets C, E, F, H, and I were not used for drinking nor cooking purposes and were for hand washing or teacher use only. Facility has taken their own corrective action to replace indoor faucets and retest levels.

LPA informed the Director that Grant funding for testing and remediation is available referenced from Provider Information Notice (PIN) 21-04-CCP.

A deficiency is cited on the subsequent pages of this report. Appeal rights were provided. An exit interview was conducted and this report was reviewed with the Director, Julie Jenkins. A Notice of Site Visit was provided and shall remain posted for 30 days.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2022
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 10/25/2022 03:12 PM - It Cannot Be Edited


Created By: Karyn Guerra On 10/25/2022 at 02:41 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
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: LA PETITE ACADEMY - CITRUS HEIGHTS
FACILITY NUMBER: 343600873

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/25/2022
Section Cited

101700.3(b)(1)

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California Lead Action Level at Child Care Centers. b) Testing results with fractional ppb readings of 0.5 or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. 1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met, as evidenced by:
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Director stated that outdoor drinking fountains have been capped and are no longer in use. LPA observed that water fountains are now inoperable and a water jug is used outside to fill cups and water bottles. POC cleared during inspection.
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results were received by the department that indicated outdoor drinking fountains were exceedance of 5.5 ppb. This is a potential risk to the health and safety of children in care if not corrected.
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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:Seychelle De Luca
LICENSING EVALUATOR NAME:Karyn Guerra
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2022


LIC809 (FAS) - (06/04)
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