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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600752
Report Date: 12/15/2021
Date Signed: 12/15/2021 09:25:13 AM

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 INFANT, THEFACILITY NUMBER:
376600752
ADMINISTRATOR:YVETTE JACKSONFACILITY TYPE:
830
ADDRESS:9175 KEARNY VILLA ROADTELEPHONE:
(858) 536-1008
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:38CENSUS: 22DATE:
12/15/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Yvette JacksonTIME COMPLETED:
09:00 AM
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On 12/15/21 @ 8:30AM, LPA(Licensing Program Analyst) Nancy Diaz conducted an unannounced inspection. The purpose of this inspection is in reference to Licensee's request to change one of the rooms from preschool to use as a toddler option.

LPA met and toured the facility with Yvette Jackson, Director. Observed present today were 22 infants and toddlers with staff Karina Sayas, Diana Lopez, Amy Aoyana, Annette Aranando, Angela Scudero and Haven Council.

Facility is currently licensed for 38 capacity. Rooms have been previously measured. Infant room (0-12 months) has 827 sq. ft.; Infant room (12-18 months) has 555 sq. ft. The preschool room that is being converted to the toddler option has 542 sq. ft. Total indoor space designated for infants and toddlers is 1,924 sq. ft. which is sufficient for 54 children.

A copy of childrens' roster was provided today by Ms. Jackson.

No deficiency observed today.

A notice of site visit was provided to Ms. Jackson today and observed posted. This notice shall remain posted for 30 days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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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