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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600145
Report Date: 09/25/2020
Date Signed: 09/25/2020 11:37:00 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:ALEXA'S PLAYCFACILITY NUMBER:
376600145
ADMINISTRATOR:ANDREA WILSONFACILITY TYPE:
850
ADDRESS:3685 KEARNY VILLA ROADTELEPHONE:
(858) 966-8555
CITY:SAN DIEGOSTATE: CAZIP CODE:
92123
CAPACITY:92CENSUS: 60DATE:
09/25/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nora CamachoTIME COMPLETED:
12:00 PM
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On 9/25/20 at 11:00 AM, Licensing Program Analyst (LPA) Elise Read made an announced virtual case management inspection for the purpose of approving an additional room to add to the licensed space. Due to COVID-19, this inspection was conducted virtually using Zoom. At the time of inspection, there were 60 children with 17 staff in 6 cohorts.

The fire clearance was granted 9/22/2020. Because there is no capacity change being requested, the additional room (the Manatee room) will not be measured at this time.
The Manatee room was toured and inspected to ensure an environment safe for the care and supervision of children. The Manatee room contains age appropriate furniture, books, games, and toys that are safe and in good repair. No hazards are observed. All hazardous items are stored where they are inaccessible to children.

There is a designated hallway bathroom for the Manatee classroom. It has one toilet and one sink and will be exclusively used for the children in this classroom.

No deficiencies are cited. The Manatee room is approved for use.

An exit interview was conducted with the Director. The Director was provided a copy of their appeal rights, this report, and their Notice of Site Visit via email. Director will reply to the email to confirm receipt of these documents. This will act as their signature on today's report. Notice of Site Visit must remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2020
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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