<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005759
Report Date: 07/12/2022
Date Signed: 07/12/2022 12:23:28 PM

Document Has Been Signed on 07/12/2022 12:23 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: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: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 0DATE:
07/12/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Donna TaconiTIME COMPLETED:
11:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 7/12/22 at approximately 8:30 AM, Licensing Program Analyst (LPA) Annette Sutherland and Licensing Program Manager (LPM) Monica Cuddy conducted an unannounced case management inspection. LPA and LPM met with Assistant Director and Director. The purpose of this visit was to measure and inspect two new classrooms that were added for the school-age program. There will be no change in the licensed capacity. Licensee will continue to use rooms 12A and 12B for the school age program. The school age program is currently not in session. Rooms 12A and 12B are being used by preschool children. Licensee needs to request a waiver to use school age space for the preschool when the school program is not in place.
The two modular buildings numbered 13 & 14 were added to the upper portion of the campus. They were inspected and measured. Room 13 measures a total of 431.75 sq. ft., Room 14 measures a total of 431.75 sq. Ft. This is sufficient space to accommodate 24 children. (12 in room 13, and 12 in room 14). There are no hazards, toxins or poisons accessible to children in these rooms. The rooms are fully furnished with age-appropriate tables, chairs, play equipment, supplies and materials. There is storage available for the children’s personal belongings. The rooms appear to be free of insects and/or rodents. There is a working carbon monoxide detectors at the facility.
There are 2 sinks and 2 toilets available which are enough for 30 children. Restrooms afford children with privacy. Drinking water is readily available indoors and outdoors. Cots/Mats are available for children who may need to nap.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 PROGRAM
FACILITY NUMBER: 372005759
VISIT DATE: 07/12/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The outdoor activity space used by the school age children is the soccer filed. These area includes sufficient shade, and drinking water. The area is free of hazards. The area is fenced with a fence that is at least 4’ high. Total outdoor activity space measures 4890 square feet which is enough for 65 children.

A fire clearance for 48 school aged children was received on 6/9/22.

Director stated that they would like to have flexibility for the preschool program to use the school age areas when the school age program is not in session. LPM advised that they would need to request a waiver prior to implementing this. A new fire clearance would also be needed to approve the younger ages to use the school age rooms.

No deficiencies are cited and no corrections are needed. The license will be updated to reflect the new classroom numbers under the school age license.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2