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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005101
Report Date: 09/29/2021
Date Signed: 09/29/2021 12:15:24 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:CARMEL MOUNTAIN PRESCHOOLFACILITY NUMBER:
372005101
ADMINISTRATOR:DONNA TACONIFACILITY TYPE:
850
ADDRESS:9510 CARMEL MOUNTAIN ROADTELEPHONE:
(858) 484-4877
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY:249CENSUS: 185DATE:
09/29/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Donna TaconiTIME COMPLETED:
12:20 PM
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On 09/29/2021 at 11:10am, Licensing Program Analyst (LPA), Selina Siao conducted a plan of correction to ensure that the facility is within compliance with citations issued on 09/21/2021. Facility submitted a written plan of correction to the department along with a copy of the email that was send to the parents regarding the mask mandates on 09/22/2021.
LPA Siao conducted a tour of the classrooms and observed that majority of the children who are 2 years and older are wearing a mask or face covering inside the classroom during the inspection. LPA also reviewed the acknowledgement receipt of licensing reports form LIC9224 during today's inspection. Facility is within staffing ratios and all staff members have the required background clearances and are associated to the facility.

Facility appears to be within compliance during today's inspection. No citation issue.

An exit interview was conducted, and appeal rights were provided. A notice of site visit was provided and to be posted at the facility for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
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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