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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700250
Report Date: 12/12/2019
Date Signed: 12/12/2019 02:49:41 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:SBCS-MI ESCUELITAFACILITY NUMBER:
376700250
ADMINISTRATOR:JOURDAN BONDURANTFACILITY TYPE:
850
ADDRESS:915 FOURTH AVENUETELEPHONE:
(619) 420-0116
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:96CENSUS: 51DATE:
12/12/2019
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Jourdan BondurantTIME COMPLETED:
11:30 AM
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LPA Armando Locano completed an un-announced case management site inspection today. LPA met with Director Jourdan Bondurant, regarding investigation pertaining to a different facility. LPA Locano interviewed child pertaining to investigation being conducted for a different facility, where child previously attended. LPA interviewed child #1 (see confidential names list) and toured the facility and observed all classrooms and playground areas, to be within proper capacity ratios and children being properly supervised.

There are no deficiencies cited on this visit, all documentation was properly posted and the facility was found to be properly childproofed.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019
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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