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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806417
Report Date: 10/24/2019
Date Signed: 10/24/2019 01:25:17 PM

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:SUNSET STATE PRESCHOOLFACILITY NUMBER:
370806417
ADMINISTRATOR:EFRAIN BURCIAGAFACILITY TYPE:
850
ADDRESS:3825 SUNSET LANETELEPHONE:
(619) 428-4476
CITY:SAN YSIDROSTATE: CAZIP CODE:
92173
CAPACITY:72CENSUS: 0DATE:
10/24/2019
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Claudia UribeTIME COMPLETED:
01:40 PM
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Licensing Program Analyst (LPA) Yolanda Baez arrived at the facility and met with the Site Supervisor, Claudia Uribe. LPA Baez arrived to speak to Ms. Uribe about the staff files for every staff member that was observed to be at the facility when the Annual Inspection was conducted earlier on 10/24/2019.

LPA Baez reviewed the files for all staff members from the annual that was conducted on 10/24/2019. The files were reviewed to ensure that all of the staff members have their current vaccines as per SB 792 and are in compliance with the mandated reporter training AB1207. After a thorough review of all staff files, it is determined that the center is in compliance with SB792 and AB1207.

There were not any deficiencies issued during today's visit.

A second Notice of Site Visit was given and is to be posted for 30 days. LPA Baez observed Ms. Uribe posting the Notice of Site Visit.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019
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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