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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700204
Report Date: 07/17/2020
Date Signed: 07/17/2020 06:10:05 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:WARREN-WALKER SCHOOLFACILITY NUMBER:
376700204
ADMINISTRATOR:BAKER, SHELLYFACILITY TYPE:
850
ADDRESS:5150 WILSON STREETTELEPHONE:
(619) 697-8308
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY:55CENSUS: 2DATE:
07/17/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Shelly Baker, Facility RepresentativeTIME COMPLETED:
04:20 PM
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Due to the COVID-19 State of Emergency, Licensing Program Analyst (LPA), Marie Hernandez conducted a Tele-Conference Case Management Inspection with the Facility Representative, Shelly Baker. On 05/15/2020, the Department received an application from the facility to add room #4 to the license. On 07/16/2020, the Fire Department granted the fire clearance. The facility measured the room #4 at 770 square feet. Room #4 can accommodate 22 children. Rooms #1, 2, & 3 were previously measured and licensed. The capacity remains the same. The facility is licensed for a capacity of 55. LPA toured and inspected the rooms for compliance, and did not observe any violations during the inspection.

The facility is approved for the additional room #4, and an updated license will be mailed 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: 07/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2020
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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