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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105014
Report Date: 09/03/2021
Date Signed: 09/03/2021 03:11:17 PM

Document Has Been Signed on 09/03/2021 03:11 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:NHA - KAREN D. LOVE HEAD STARTFACILITY NUMBER:
376105014
ADMINISTRATOR:LORENA AGRAZFACILITY TYPE:
850
ADDRESS:2230 EAST JEWETT STREETTELEPHONE:
(858) 433-6505
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 59TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/03/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Lorena AgrazTIME COMPLETED:
03:30 PM
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 9/3/21 Licensing Program Analyst Michael Morales-DeSilvestore conducted an unannounced case management visit for the purpose of approving a capacity increase request. LPA met with facility director Lorena Agraz. During the visit there were zero children in care. Facility will be reopening for the new school year on 9/7/21. Facility is requesting an increase from 59 children to 77 children.

Facility was previously measured on 3/4/20 to be 2,946 square feet which can accommodate 84 children. Classroom 5 is being split into two classrooms, 5 and 6. The room is being split with a thin divider that does not impact the facilities total square footage. Facility outdoor space was measured on 3/4/20 to be 4,898 sq.ft. which can accommodate 65 children at one time. Facility has 6 toilets and 6 sinks which is sufficient for 90 children. Facility received a fire clearance on 8/26/21 for 77 children.

Facility increase to 77 children will be granted pending playground waiver.

The Director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. LPA provided notice of site visit and observed it being posted at the facility.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestore
LICENSING EVALUATOR SIGNATURE: DATE: 09/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2021
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