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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005759
Report Date: 08/10/2020
Date Signed: 08/10/2020 03:39:09 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 SCHOOL-AGE PROGRAMFACILITY NUMBER:
372005759
ADMINISTRATOR:DONNA TACONIFACILITY TYPE:
840
ADDRESS:9510 CARMEL MOUNTAIN ROADTELEPHONE:
(858) 484-4877
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY:48CENSUS: 0DATE:
08/10/2020
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Donna TaconiTIME COMPLETED:
03:45 PM
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A scheduled office meeting was held on this date 08/10/2020, in the San Diego Child Care Regional Office. Present during this office meeting were Regional Manager (RM) Kimberly Hall, Licensing Program Manager (LPM) Monica Cuddy, Licensing Program Analyst (LPA) Selina Siao. Facility representatives includes: Licensee/CEO Pauline Condrick, CFO Daniel Condrick, Secretary Arianne Bettazzi and Preschool Director Donna Taconi.

During this office meeting, the following items were discussed and reviewed: CDSS COVID-19 Updated Guidance, San Diego County’s Health’s orders and the facility’s operations procedures.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2020
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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