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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600751
Report Date: 01/28/2020
Date Signed: 01/28/2020 01:57:06 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:MERRY-GO-AROUND, THEFACILITY NUMBER:
376600751
ADMINISTRATOR:YVETTE JACKSONFACILITY TYPE:
850
ADDRESS:9175 KEARNY VILLA ROADTELEPHONE:
(858) 536-1008
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:72CENSUS: DATE:
01/28/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 AM
MET WITH:TIME COMPLETED:
02:15 PM
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On January 28th, 2020 Licensing Program Analysts (LPA's),Tresha Souza and Michelle Hood made an unannounced case management visit to deliver the amended report. Upon arrival, LPA's met with Yvette Jackson, Site Director and Kim Hardison Assistant Site Director. A tour of the center was conducted (preschool component). There were 41 children observed napping with 6 Teachers present at the time of visit. Appropriate staff-children ratio were observed in all the preschool classroom.

NOTICE OF SITE VISIT (LIC 9213) IS TO BE POSTED FOR 30 DAYS. LPA OBSERVED DIRECTOR POST LIC 9213.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Tresha SouzaTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
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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