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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105047
Report Date: 09/02/2021
Date Signed: 09/02/2021 11:13:54 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:PRIMROSE SCHOOLS 4S RANCHFACILITY NUMBER:
376105047
ADMINISTRATOR:BREEANNA MOTAFACILITY TYPE:
830
ADDRESS:17025 VIA DEL CAMPOTELEPHONE:
(858) 592-2335
CITY:SAN DIEGOSTATE: CAZIP CODE:
92127
CAPACITY:24CENSUS: 13DATE:
09/02/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Breeanna MotaTIME COMPLETED:
10:00 AM
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On 9/2/21 Licensing Program Analyst Michael Morales-DeSilvestore conducted an unannounced case management visit for the purpose of a capacity increase. LPA met with director Breeanna Mota and Owner Reena Dayal. There were 13 infants in care today.

Facility is requesting a new capacity of 36 children. Facility is transferring room 4 from their preschool license onto their infant license. Room 4 was inspected for age appropriateness and measured at 792.72 square feet. New infant facility indoor activity space for rooms 4, 9 and 10 measures at 2,141.41 square feet which is sufficient for 61 infant. Facility outdoor play area was measured on 4/28/21 to be 1545 square feet which is sufficient for 20 children at one time.

Facility will need to submit a playground waiver request prior to granting the increased license for 36 infants.

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.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
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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