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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372000413
Report Date: 02/05/2021
Date Signed: 02/05/2021 03:10:47 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:NORTHMINSTER PRESCHOOLFACILITY NUMBER:
372000413
ADMINISTRATOR:SHARON HALLEFACILITY TYPE:
850
ADDRESS:4324 CLAIREMONT MESA BOULEVARDTELEPHONE:
(858) 270-3760
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:95CENSUS: 0DATE:
02/05/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:09 PM
MET WITH:Sharon HalleTIME COMPLETED:
02:30 PM
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On 2/5/21 at 2:09 PM, LPA Lane conducted a case management televisit to follow up on a lockdown incident that occurred at the facility yesterday (2/4/21) around 2 pm. LPA Lane spoke with Director Sharon Halle regarding the incident. Staff and four children had to shelter-in-place due to a suspected shooter being on the premises. Staff and children were safely evacuated to a nearby church and there were no injuries.

An exit interview was conducted with the Director. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) will be sent along with the report (LIC809) to the Licensee. Licensee will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights. The Notice of Site Visit (LIC9213) must remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2021
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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