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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806086
Report Date: 05/31/2023
Date Signed: 05/31/2023 11:41:13 AM


Document Has Been Signed on 05/31/2023 11:41 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:MANCHESTER FAMILY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
370806086
ADMINISTRATOR:SARAH KIMBALLFACILITY TYPE:
850
ADDRESS:1752 VIA LAS CUMBRESTELEPHONE:
(619) 260-4620
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:60CENSUS: 39DATE:
05/31/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Sarah KimballTIME COMPLETED:
12:00 PM
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On 5/31/2023 @ 10:50AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced inspection. This is in reference to a self-reported incident. LPA met with Sarah Kimball, Site Supervisor.

A tour of the classrooms were conducted. There are 4 classrooms observed today with the following census:

Sunbeams with 10 children and staff Michelle Mullins & Grace Pousson
Sun Rays with 9 children and staff Dora Olivas & Ashrafalsadat Hosseini (sub)
Mariposa with 11 children and staff Geneva Lee & Carmen De Asis
Moon Riders with 9 children and staff Mireya Avila & Jennifer Baltazar.

LPA interviewed the director and the teacher from Sun Rays room.
Ms. Kimball provided the LPA a copy of the Personnel Report and Children's Roster. LPA took photos of the classroom and the bathroom (where the diaper change table is located).

No deficiency cited at this time. Exit interview was conducted with Sarah Kimball. A copy of this report and appeal rights were provided today. Notice of site visit was also provided and observed posted and shall remain posted for 30 days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2023
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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