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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600362
Report Date: 07/22/2021
Date Signed: 07/22/2021 01:03:37 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 INFANTFACILITY NUMBER:
376600362
ADMINISTRATOR:BIBIANCA JIMENEZFACILITY TYPE:
830
ADDRESS:6150 AGEE STREETTELEPHONE:
(858) 453-7530
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY:48CENSUS: 20DATE:
07/22/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Bibianca JimenezTIME COMPLETED:
01:15 PM
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On 7/22/21 Licensing Program Analyst Michael Morales-DeSilvestore conducted an unannounced Case Management Licensee Initiated visit for the purpose of a capacity reduction. Facility is currently licensed for 48 children and is requesting a reduction to 32 children. During the visit there were 20 children in care with 7 staff members.

Facility measurements are; Room 2 is 878.56 sq.ft, Room 3 is 607.34 sq.ft for a total indoor square footage of 1485.9025 sq ft which is sufficient for 42 children. Outdoor space is 1,162 sq.ft. which is sufficient for 16 children at one time. Facility has 4 sinks which is sufficient for 60 children and 2 toilets which is sufficient for 30 potty training infants. Facility fire clearance was granted for 32 children on 7/7/21.

Facility will be granted an increase to 32 children based on the fire clearance pending approval of playground waiver.

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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