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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700083
Report Date: 09/14/2021
Date Signed: 09/14/2021 04:38:01 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-AVIARA OAKS ELEM.FACILITY NUMBER:
376700083
ADMINISTRATOR:ELOISA ORTIZ LOPEZFACILITY TYPE:
840
ADDRESS:6900 AMBROSIA LANETELEPHONE:
(760) 331-6028
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:140CENSUS: 46DATE:
09/14/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Bridget NicholsTIME COMPLETED:
05:00 PM
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On 9/14/21 Licensing Program Analyst Michael Morales-DeSilvestore conducted a case management visit for the purpose of adding 2 new rooms to the license, Gymnasium and 1305. The facility is not requesting a capacity increase at this time. LPA met with Bridget Nichols.

During the visit, LPA checked the 2 new rooms for safety and age appropriateness. There is a boys and girls bathroom next to the gymnasium with a combined 10 toilets and 8 sinks.
LPA measured rooms 917, 913, 912 and multi purpose room today. 917 measured to be 914.22 sq. ft. 913 measured to be 891.04 sq.ft. 912 measured to be 904.01 sq. ft. Multi-purpose room measured to be 2,982.22. Facility total is 5,691.42 sq.ft. which is sufficient for 162 children. Facility has 16 sinks and 18 toilets available for children which is sufficient for 240 children. Facilities playground is sufficient for 140 children.

Prior to approving the room additions, facility will need to submit approval from elementary and middle school principles on which rooms they are allowed to use, for how long the approval lasts, the ages allowed on each campus and if crossover of children is allowed.

The Director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. LPA provided notice of site visit and observed it being posted at the facility.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestoreTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2021
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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