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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600282
Report Date: 11/14/2019
Date Signed: 11/14/2019 10:24:21 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:NHA - BARBARA Y. FIELDING EARLY LEARNING ACADEMYFACILITY NUMBER:
376600282
ADMINISTRATOR:WEDDINGTON, JENNIFERFACILITY TYPE:
830
ADDRESS:841 SOUTH 41ST STREETTELEPHONE:
(619) 263-7761
CITY:SAN DIEGOSTATE: CAZIP CODE:
92113
CAPACITY:40CENSUS: 32DATE:
11/14/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:43 AM
MET WITH:Gracie Vaden, & Paola Carbajal, Facility RepresentativesTIME COMPLETED:
10:23 AM
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Licensing Program Analyst (LPA), Marie Hernandez conducted the case management visit to deliver the inspection reports of 11/13/2019. On 11/13/2019, LPA was unable to review and obtain the facility representative's signature on the reports, as the FAS database went into a consistency check. LPA was unable to open the database and retrieve the reports. During the inspection yesterday, LPA was unable to print and provide the Notice of Site Visit to the facility.

An exit interview was conducted and a copy of the report was provided to the Facility Representative.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
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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