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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006391
Report Date: 08/03/2021
Date Signed: 08/03/2021 10:09:31 AM

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:LA JOLLA COUNTRY DAY SCHOOLFACILITY NUMBER:
372006391
ADMINISTRATOR:MARIA TERESA CURTISFACILITY TYPE:
850
ADDRESS:9490 GENESEE AVENUETELEPHONE:
(858) 453-3440
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:74CENSUS: 0DATE:
08/03/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:02 AM
MET WITH:Maria Teresa CurtisTIME COMPLETED:
10:15 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 August 3, 2021 at 9:02 a.m. Licensing Program Analyst's (LPA's) Leilani Curtis and Nancy Diaz conducted an unannounced case management inspection with director Maria Teresa Curtis. The purpose of this visit is to inspect the additional rooms that the facility has requested to add to it's license. There were no children present. LPA’s toured rooms Lower School Room LS8 and Lower School Art Studio VASC 12 to ensure that the rooms are safe for the care and supervision of children and in compliance with Title 22 regulations. The facility is currently licensed to operate in rooms ECC1, ECC2, ECC3, ECC4 and ECC5 located in the Lower School. The facility is also using the library, music room and gymnasium for additional activities. The facility has requested to add the following rooms to the license: Lower School Room LS8 and Lower School Art Studio VASC12. The fire clearance for the additional rooms was granted on 7/13/21. The licensed capacity will remain unchanged at 74 children, ages 2 through Kindergarten.

The following rooms were measured:
Lower School Room LS8 has 572 sq. ft. of indoor space.
Lower School Art Studio VASC 12 has 1022 sq. ft. of indoor space.

The total indoor space for these two classrooms is 1594 sq. ft. and will accommodate 45 preschool children.

No deficiencies are cited.

The addition of these two rooms for childcare is granted and effective today's date, August 3, 2021. The licensed rooms are as follows: ECC1, ECC2, ECC3, ECC4 and ECC5. The library, music room, gymnasium, Lower School LS8 and Lower School Art Studio VASC 12 will be used for additional activities. An updated license will be sent for posting. An exit interview was conducted with the director and appeal rights (LIC 9058 1/16) were discussed. The director’s signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA’s observed the director post notice of site visit.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021
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 1