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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600883
Report Date: 09/02/2020
Date Signed: 09/02/2020 04:46:44 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:LA MESA DALE PRESCHOOLFACILITY NUMBER:
376600883
ADMINISTRATOR:RABASCO, KELLEYFACILITY TYPE:
850
ADDRESS:4370 PARKS AVENUETELEPHONE:
(619) 668-5740
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY:24CENSUS: 0DATE:
09/02/2020
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
04:34 PM
MET WITH:Tracy Olander, Facility RepresentativeTIME COMPLETED:
04:38 PM
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Due to the COVID-19 State of Emergency, Licensing Program Analyst (LPA), Marie Hernandez conducted a second Tele-Conference Case Management Inspection with the Facility Representative, Tracy Olander. The Department received an application from the facility to change the day care room from #19 to room #4. On 07/20/2020, the Fire Department granted the fire clearance. The facility measured the room #4 at 930 square feet which can accommodate the 24 children. The outdoor playground was previously measured and licensed which can accommodate the 24 children. There are three sinks and three toilets. The capacity remains the same. The facility is currently licensed for a capacity of 24. LPA toured and inspected room #4 for compliance during the inspection.

During the initial inspection of 08/27/2020, the facility needed to install a carbon monoxide detector prior to licensure. However, during today's inspection of 09/02/2020, the facility has installed a working carbon monoxide detector.

The facility is approved for room #4 of 24 children, ages 3 through 5 years old. An updated license will be emailed to the facility.

LPA, Marie Hernandez, explained the inspection report, and the Facility Representative stated she understood. A copy of the report was emailed to the Representative The Representative was advised that acknowledgement of receipt of the report is to be received within 24 hours. NOTE on Facility Signature: SEE FILE FOR ACKNOWLEDGEMENT.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2020
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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