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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700082
Report Date: 09/01/2020
Date Signed: 09/01/2020 04:57:11 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:CARLSBAD EDUCATIONAL FOUNDATION - CALAVERA HILLSFACILITY NUMBER:
376700082
ADMINISTRATOR:SAMARA WHITEFACILITY TYPE:
840
ADDRESS:4101-4104 TAMARACK AVENUETELEPHONE:
(760) 331-6387
CITY:CARLSBADSTATE: CAZIP CODE:
92010
CAPACITY:110CENSUS: 0DATE:
09/01/2020
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Laura Pitts, Director of OperationTIME COMPLETED:
05:00 PM
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Licensing Program Analyst, Joelle Redding, made an announced case management Tele Inspection due to Covid 19 restrictions. The purpose of this visit is to evaluate Rooms 1, 6 and 13 in the elementary building and Room D1 in the Middle School building for use by the facility. Room 10, 15 and 103 will continue to be used. Fire clearance was received on 8/24/20. The capacity will remain the same, 110 children ages 5 to 14 years.

LPA inspected the classroom. No hazards were noted. Covid posters are in place, parents have a central location for check in outside the gate. Hand sanitizer, sinks and hand washing posters in each room, tables have been set up to encourage social distancing. The room additions are granted. An updated License will be sent for posting.

This report and Notice of Site Visit will be delivered via email. A reply will verify receipt. Notice of Site Visit will be posted for 30 days.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2020
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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