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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372001274
Report Date: 02/24/2022
Date Signed: 02/24/2022 04:22:49 PM


Document Has Been Signed on 02/24/2022 04:22 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:LIFEBRIDGE PRESCHOOL & DAYCARE CENTERFACILITY NUMBER:
372001274
ADMINISTRATOR:JULIE HENDRICKSONFACILITY TYPE:
850
ADDRESS:17645 WEST BERNARDO DRIVETELEPHONE:
(858) 485-5933
CITY:SAN DIEGOSTATE: CAZIP CODE:
92127
CAPACITY:142CENSUS: 77DATE:
02/24/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Julie HendricksonTIME COMPLETED:
04:45 PM
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On 2/24/22 at 3:30pm Licensing Program Analyst Michael Morales-DeSilvestore conducted a case management inspection to amend a report originally created on 2/3/22. During the visit, LPA met with Director Julie Hendrickson and toured the facility. LPA observed 53 children on the back playground with 3 teachers and 2 aids and 24 children on the side playground with 3 teachers.

Exit interview was conducted with the Director Julie Hendrickson. Appeal rights and notice of site visit was provided. Notice of site visit must remain posted for 30 days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2022
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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