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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600360
Report Date: 07/22/2021
Date Signed: 07/22/2021 01:01:45 PM

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:KINDERCARE AGEE PRESCHOOLFACILITY NUMBER:
376600360
ADMINISTRATOR:BIBIANCA JIMENEZFACILITY TYPE:
850
ADDRESS:6150 AGEE STREETTELEPHONE:
(858) 453-7530
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY:84CENSUS: 51DATE:
07/22/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Bibianca JimenezTIME COMPLETED:
11:45 AM
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On 7/22/21 Licensing Program Analyst Michael Morales-DeSilvestore made an unannounced Case Management Licensee Initiated visit for the purpose of adding room 4 from the Infant to Preschool license. During the visit there were 51 children in care with 7 staff members.

Facility is requesting an increase of 16 children in room 4. Room 4 measured at 1,625.33 sq.ft. which is large enough to accommodate 46 children. Outdoor play space was previously measured on 11/4/15 at 13,676.35 which is large enough for 182 children. Facility has enough toilets for 150 children and sinks for 165 children. Fire clearance was granted on 7/7/21 for 100 children.

Facility will be granted an increase for 100 children effective today.

The licensee 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: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
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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