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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370800119
Report Date: 07/13/2022
Date Signed: 07/13/2022 10:56:50 AM


Document Has Been Signed on 07/13/2022 10:56 AM - 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:CHRISTIAN CHURCH OF LEMON GROVE PRESCHOOLFACILITY NUMBER:
370800119
ADMINISTRATOR:LEAVITT, LYNNFACILITY TYPE:
850
ADDRESS:6970 SAN MIGUEL AVENUETELEPHONE:
(619) 465-1887
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY:90CENSUS: DATE:
07/13/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Lynn LeavittTIME COMPLETED:
11:00 AM
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On 07/13/22 at 10:00AM, LPAs Luigi Gargaro and Claudia Amador conducted an unannounced case management visit to the facility. Visit was conducted so that analysts could interview a child in care (child #1) for a matter related to another facility. Analysts met with facility director Lynn Leavitt and advised of purpose of visit and were allowed to complete interview of child in care.

An exit interview was conducted and the report was reviewed with director Leavitt. A copy of this report, along with Appeal Rights (LIC9058 01/16), were provided. A notice of site visit was given and must remain posted for 30 days. LPAs observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2022
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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