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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372000227
Report Date: 08/29/2019
Date Signed: 08/29/2019 02:27:19 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:GILLISPIE SCHOOLFACILITY NUMBER:
372000227
ADMINISTRATOR:MINDY COATES SMITHFACILITY TYPE:
850
ADDRESS:7380 GIRARD AVENUETELEPHONE:
(858) 459-3773
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:92CENSUS: 0DATE:
08/29/2019
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Alison Fleming, Head of SchoolTIME COMPLETED:
03:00 PM
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An announced case management inspection was conducted today by LPA, Nancy Diaz in reference to licensee's request to add Rooms C (Spruce) & Room B (Maple) to the licensed space. Licensee is also requesting an increase of capacity from 92 to 140. Facility is on Summer break and will resume business on Tuesday, September 3, 2019.

LPA toured the new classrooms with Alison Fleming, Head of School; Carol Baranowski, Director of Finance and Kimberly Abrams, Licensing Coordinator.

The following classrooms were measured today:

Room B (Maple room) measured 594 sq. ft. will accommodate 16 children
Room C (Spruce room) measured 533 sq. ft. will accommodate 15 children.
There were 4 toilets and 3 sinks located between the classrooms. There were 2 changing tables and a drinking fountain.

The increase of capacity (to 140 children) will be granted upon receipt of the Fire Marshall approval.


SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
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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