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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700245
Report Date: 08/17/2022
Date Signed: 08/17/2022 01:24:28 PM


Document Has Been Signed on 08/17/2022 01:24 PM - It Cannot Be Edited

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 COUNTRY DAY SCHOOLFACILITY NUMBER:
376700245
ADMINISTRATOR:MELISSA REED-MURPHYFACILITY TYPE:
850
ADDRESS:5150 HEMINGWAY DRIVETELEPHONE:
(760) 804-0550
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:162CENSUS: 99DATE:
08/17/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:31 PM
MET WITH:Bailey ChoiTIME COMPLETED:
01:30 PM
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On 08/17/2021 at 12:31pm, Licensing Program Analyst (LPA) Samantha Clenista conducted an unannounced case management site inspection. Upon arrival, LPA met with Assistant Director, Bailey Choi. LPA conducted a walk through of the facility and observed there to be 99 children present with a total of 13 staff members.

When LPA conducted the walk through of the facility, LPA observed Staff #1 supervising 13 children in Room 201. LPA observed the children sitting quietly for circle time in chairs surrounding Staff #1. Staff #1 stated that a child was brought over from another classroom because he needed a break. See Technical Violation (LIC9102).

An exit interview was conducted with Assistant Director. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Ms. Choi post notice of site visit.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2022
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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