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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600090
Report Date: 01/03/2024
Date Signed: 01/03/2024 02:01:01 PM

Document Has Been Signed on 01/03/2024 02:01 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LA PETITE ACADEMY, INC.FACILITY NUMBER:
376600090
ADMINISTRATOR:KRISTEN COBBFACILITY TYPE:
850
ADDRESS:795 CORRAL CANYON ROADTELEPHONE:
(619) 421-5238
CITY:BONITASTATE: CAZIP CODE:
91902
CAPACITY: 110TOTAL ENROLLED CHILDREN: 110CENSUS: 79DATE:
01/03/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Kristen CobbTIME COMPLETED:
02:15 PM
NARRATIVE
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On 01/03/2024 at 10:42 AM LPA Dana Stevens conducted an unannounced Case Management inspection for the purpose of following up on an unusual incident that occurred on 07/06/2023 and was reported by Director on 07/07/2023. LPA Stevens met with Director, Kristen Cobb. 7 staff were present with 79 children at the time of this inspection.
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On 07/07/2023 Director reported that on 07/06/2023 at around 12:22 pm, 10 children and one teacher, Staff 2 (S2) were present in the 3 year olds class. Child 1 (C1) was crawling/playing near a table during nap time with Child 2 (C2). C1 began crying and stating their arm hurt. Director was not present on the day of the incident but was notified of the incident immediately by phone, by Staff 1 (S1). Parents of C1 were also immediately notified of the injury by S1. C1 was picked up by parents at 1:27 PM and taken to the hospital where C1 was diagnosed with a pulled left elbow. The director stated she interviewed all staff witnesses, informed her District Manager of the incident and requested review of video footage. After review of video footage it was determined that C1's injury was due to improper handling by Staff 2 (S2) and S2' employment was subsequently terminated.

During today's visit, LPA interviewed Director, 2 staff and one daycare child, and reviewed staff records. Based on information obtained in interviews and record review, although staff reported and documented the incident in a timely manner to Licensing and C1's parents and corrective action was taken in the termination of S2, LPA's review of staff records revealed S2 had not received training on safe and proper handling of children since 06/2021.

California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D.

Upon Receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

Exit interview conducted and copy of this report left with Director. Notice of site visit must be posted for 30 days.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE: DATE: 01/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/03/2024
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 01/03/2024 02:01 PM - It Cannot Be Edited


Created By: Dana Stevens On 01/03/2024 at 01:21 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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LA PETITE ACADEMY, INC.
FACILITY NUMBER: 376600090

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/04/2024
Section Cited
CCR
101223(a)(3)

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101223 Personal Rights The licensee shall ensure that each child is accorded the following personal rights:To be free from corporal or unusual punishment, infliction of pain...or other actions of a punitive nature...this requirement was not met as evidenced by,
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Director will provide LPA with written plan for ensuring staff receive current and updated training on the safe and proper handling of children by 01/04/2024.
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Based on review of video footage, staff interviews, and facility record review, at the time of this incident facility staff did not ensure the safe and proper handling of children which resulted in injury to a child that required medical attention and posed an immediate Health and Safety 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.
SUPERVISOR'S NAME:Cynthia Gray
LICENSING EVALUATOR NAME:Dana Stevens
LICENSING EVALUATOR SIGNATURE:
DATE: 01/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/03/2024


LIC809 (FAS) - (06/04)
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