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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600412
Report Date: 12/03/2019
Date Signed: 12/03/2019 03:20:02 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:NHA EDUCATIONAL CULTURAL COMPLEX HEAD START & CDCFACILITY NUMBER:
376600412
ADMINISTRATOR:MARTHA SHIELDSFACILITY TYPE:
850
ADDRESS:4343 OCEAN VIEW BLVD.TELEPHONE:
(619) 363-3900
CITY:SAN DIEGOSTATE: CAZIP CODE:
92113
CAPACITY:24CENSUS: 12DATE:
12/03/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Mariana Gastelum/Site SupervisorTIME COMPLETED:
03:25 PM
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Case management inspection conducted by Licensing Program Analyst (LPA) Selina Siao for the purpose of decrease capacity. The licensed classroom area was reduced as part of the classroom is now the Director's office and food preparation area. Upon arrival, LPA met with Site Supervisor Mariana Gastelum aka Rivera, staff members Maria Christina Evans and Osvaldo Berumen supervising 12 children that were getting ready to wake up from nap. All staff members have the required background clearances and are associated to the facility.

This facility is currently licensed for 24 children and Licensee representative submitted an application to reduce the capacity to 20 children.

The classroom was inspected and measured, and it is sufficient to accommodate the requested capacity of 20 children. The room is equipped with age appropriate equipment, furniture, supplies and materials. There are 3 sinks, 2 toilets and a drinking water is available for children inside the classroom.

The playground was previously measured at 2944 square feet, which is sufficient for 39 children. Site Supervisor stated that they bring a water pitcher when children are at the playground.

The fire clearance for 20 was granted on 11/06/2019 and the capacity of 20 children will be granted effective today. Notice of site visit was posted during today's inspection.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019
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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