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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374844881
Report Date: 12/21/2022
Date Signed: 12/21/2022 01:25:11 PM


Document Has Been Signed on 12/21/2022 01:25 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:LEAPS AND BOUNDSFACILITY NUMBER:
374844881
ADMINISTRATOR:KORNICZUK, SARAHFACILITY TYPE:
840
ADDRESS:270 WEST CREST STREETTELEPHONE:
(408) 420-1682
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:34CENSUS: 0DATE:
12/21/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:06 PM
MET WITH:Lianne Holgate, DirectorTIME COMPLETED:
12:20 PM
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On December 21, 2022 at 12:00 PM, Licensing Program Analyst (LPA) Cindy Hamilton arrived at Leaps and Bounds Preschool (CCC) for the purpose of verifying Plan of corrections. Upon arrival LPA met with Lianne Holgate, Director who granted access to the CCC, LPA took census and toured the facility. The purpose of today's visit is to follow-up on a "Plan of Correction" (POC) for deficiency, that was issued during a visit conducted on 11/10/2022. LPA observed the school-age areas to be cleaned, orderly and the damaged couches had been removed.

101239 (n) Fixtures, Furniture, Equipment and Supplies Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.. THIS DEFICIENCY WILL BE CLEARED DURING THIS VISIT.

An exit interview was conducted with Director, Notice of Site Visit posted and a copy of this report and Letter of Deficiency Citations Cleared was provided to the Director today.

A copy of this report must be kept for 3 years and available to the public, upon request.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:
DATE: 12/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/21/2022
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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