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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372001014
Report Date: 04/18/2023
Date Signed: 04/18/2023 03:09:02 PM


Document Has Been Signed on 04/18/2023 03:09 PM - 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:LEUCADIA CHILDREN'S SCHOOLFACILITY NUMBER:
372001014
ADMINISTRATOR:TORRES, ALICIAFACILITY TYPE:
850
ADDRESS:1337 NORTH VULCAN AVENUETELEPHONE:
(760) 753-8084
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:44CENSUS: 40DATE:
04/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Alicai TorresTIME COMPLETED:
03:30 PM
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On 4/18/2023 @12:00pm, Licensing Program Analyst (LPA) Patrick Ma, made an unannounced Case Management inspection regarding a possible lack of supervision violation from a self-report made to the Department on 4/6/23. Upon arrival, LPA met with Director, Alicia Torres. Present at the facility were 40 daycare children and 6 staff in 3 rooms.

LPA conducted interview of children (C1 -C2) and staff (S1 – S4), made a confidential names list, reviewed related documents, and received a copy of the children’s roster. Teachers and children were observed in proper ratio with staff providing proper supervision of the children.

No deficiencies were cited during this visit.

Exit interview conducted and report was reviewed with the facility representative Merle Rodriquez. 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: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2023
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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