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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105047
Report Date: 10/14/2021
Date Signed: 10/14/2021 10:48:01 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:36CENSUS: 7DATE:
10/14/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Reena DayalTIME COMPLETED:
11:00 AM
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On 10/14/21 Licensing Program Analyst Michael Morales-DeSilvestore met with Director Breeanna Mota and Owner Reena Dayal. During the visit there were 7 infants in care. The purpose of todays visit was to ensure that the infant playground has age appropriate equipment.

LPA toured the playground and inspected the equipment. All equipment was age appropriate. Infant license increase to 36 children was granted today.

LPA reviewed current health order including mask mandate with the Director and Owner.

Facility was provided a notice of site visit and appeal rights. Notice of site visit must be posted for 30 days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
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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