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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600648
Report Date: 07/25/2023
Date Signed: 07/25/2023 02:25:59 PM


Document Has Been Signed on 07/25/2023 02:25 PM - It Cannot Be Edited

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 - CARLSBAD INFANT CENTERFACILITY NUMBER:
376600648
ADMINISTRATOR:MELISSA RUIZFACILITY TYPE:
830
ADDRESS:1200 PLUM TREE ROADTELEPHONE:
(760) 435-0001
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:43CENSUS: 24DATE:
07/25/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Assistant Director Corrie BarrickTIME COMPLETED:
02:30 PM
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On 7/25/2023 @ 2:15 p.m., Licensing Program Analyst (LPA), Joelle Redding, made an unannounced visit to deliver the correct version of the annual visit report dated 7/6/2023. The original report was generated under the incorrect facility number. LPA obtained the incorrect copy from the Assistant Director today and the deletion/error will be noted in the public and electronic files.

NOTICE OF SITE VISIT WAS PROVIDED AND WILL BE POSTED FOR 30 DAYS,
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 07/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/25/2023
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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