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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343606582
Report Date: 06/14/2021
Date Signed: 06/14/2021 02:20:08 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/04/2021 and conducted by Evaluator Katrina Owens
COMPLAINT CONTROL NUMBER: 03-CC-20210604164032
FACILITY NAME:LA PETITE ACADEMY CITRUS HEIGHTSFACILITY NUMBER:
343606582
ADMINISTRATOR:JENKINS, JULIEFACILITY TYPE:
830
ADDRESS:8008 OLD AUBURN RD.TELEPHONE:
(916) 723-3094
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:24CENSUS: 15DATE:
06/14/2021
ANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Kristen Elliott, Assistant Director and Rosy Tichauer, Area Manager
TIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
LACK OF SUPERVISION: Lack of supervision resulting in injury to child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
An announced inspection was conducted today by Licensing Program Analyst Owens. LPA met with Assistant Director, Kristen Elliott and Area Manager, Rosy Tichauer. The purpose of the inspection is for LPA Owens to review video footage of an incident and to close a complaint investigation that was originally opened on June 7, 2021.

Based on review of video footage and interviews conducted an incident did occur, however there was not a preponderance of evidence to support the allegation therefore, this complainant is unsubstantiated.

An exit interview was conducted. Appeal rights were given at time of inspection and explained to the licensee.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021
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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