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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005759
Report Date: 09/01/2021
Date Signed: 09/02/2021 11:03:39 AM

COMPREHENSIVE INSPECTION
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:
09/01/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Donna TaconiTIME COMPLETED:
02:00 PM
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This report is signed on 09/02/2021 due to insufficient time on 09/01/2021.

On 09/01/2021 at 9:30am, Licensing Program Analysts (LPAs) Selina Siao and Saraliz Velando conducted an announced annual visit. Upon arrival, LPAs met with Director DonnaTaconi who stated that the facility is currently not operating their school age program since the school age children returned back to school on 08/18/2021. Facility's last day of operation for the school age program was on 08/10/2021. Director stated that the facility no longer provides before and after school care. Facility does not want to be on inactive status.

Facility recently purchased two trailers to be use for the school age program pending fire clearance. A visit will be conducted to inspect and measure the areas upon received of the fire clearance approval.


Notice of Site shall be posted and remain posted for 30 days. Failure to keep it posted will result in civil penalty of $100.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021
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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