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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806232
Report Date: 10/27/2023
Date Signed: 10/27/2023 10:34:01 AM


Document Has Been Signed on 10/27/2023 10:34 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:SAINT DAVID'S PRESCHOOLFACILITY NUMBER:
370806232
ADMINISTRATOR:KAREN GARCIAFACILITY TYPE:
850
ADDRESS:5050 MILTON STREETTELEPHONE:
(619) 276-7048
CITY:SAN DIEGOSTATE: CAZIP CODE:
92110
CAPACITY:53CENSUS: 20DATE:
10/27/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Karen GarciaTIME COMPLETED:
10:45 AM
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On 10/27/23 at 8:50am Licensing Program Analysts (LPA) Patrick Ma and Gerald Poindexter conducted an unannounced case management inspection for a room addition to license per request received on 9/5/23. Fire Inspection clearance was granted 10/12/23. Upon arrival, LPA’s were greeted by Facilities Manager, Dave Holland. Director was not on site yet and arrived at 9:15am. During the visit there were 20 children in care and 5 staff members. Facility was in ratio and capacity.

Facility is currently licensed for 53 children in rooms #1-4 located in the lower level and room #6 in the upper level. Facility is requesting to add room 7 in the upper level for flexible use such as a napping room or during inclement weather. A capacity increase was not requested. Room 7 measured a total of 846.6 sq. ft. The room was clean, with chairs stacked, tables folded and in good repair. The room also includes a kitchen that is off-limits for children and made inaccessible with a child safety gate. There is a corridor area with a blind spot that includes the bathroom and a door that leads to unsupervised outside areas. LPA advised a gate at the corridor entrance is require to ensure proper supervision of children prior to room addition.

Room 7 is approved for use after facility provides proof a child safety gate has been installed at the corridor area entrance. An updated license will be sent for posting after correction is made.
Exit interview conducted and report was reviewed with the facility representative Karen Garcia. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick MaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2023
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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