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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700037
Report Date: 02/21/2020
Date Signed: 02/21/2020 12:57:24 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:CALVARY CHRISTIAN ACADEMYFACILITY NUMBER:
376700037
ADMINISTRATOR:JENNIFER GREENAWALDFACILITY TYPE:
850
ADDRESS:1771 EAST PALOMAR STREETTELEPHONE:
(619) 591-2260
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:120CENSUS: 68DATE:
02/21/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:38 PM
MET WITH:Assistant Director Malia KentTIME COMPLETED:
01:00 PM
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On February 21st, 2020 at 12:38 PM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced capacity decrease inspection. Assistant Director (AD) Malia Kent was advised of the meeting’s purpose and granted LPA facility entry.

On 01/03/2020, Community Care Licensing (CCL) received the Licensee’s application (LIC 279) requesting a capacity decrease. The Fire Safety Inspection Request (STD 850) was approved by the local fire marshal on 02/14/2020 for 96 children.

The following ratios were observed in the following classrooms: Room 114/PreK3A had seventeen children supervised by two teachers. Room 113/PreK3B had seventeen children supervised by two teachers. Room 111/Prek4A and Room 112 PreKB were empty because these children were outside at recess. The 2 Year Olds' classroom had nine children supervised by two teachers and one assistant. LPA observed the children to be involved in indoor and outdoor activities. Appropriate ratios were maintained, and visual observation noted.

AD Kent accompanied LPA on a tour of the facility, as shown on the updated facility sketch. Background criminal record clearances were verified and discussed. Facility has working 2A10BC fire extinguishers, smoke alarms, and the first aid kits in place. The last safety drill was on 01/30/2020. There are no bodies of water on the premises. Per AD Kent, no weapons or ammunition are housed in the facility.

In the areas that were evaluated, no deficiencies were observed. Licensure for a decreased capacity of 96 children is approved. A new license will be generated and mailed to the provider via certified post.


SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CALVARY CHRISTIAN ACADEMY
FACILITY NUMBER: 376700037
VISIT DATE: 02/21/2020
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Staff was provided with A Notice of Site Visit (LIC 9213), which is to be posted for thirty (30) days. An exit interview was conducted with AD Kent. Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to staff and their signature on this form confirms receipt of these rights.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020
LIC809 (FAS) - (06/04)
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