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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700393
Report Date: 08/13/2021
Date Signed: 08/13/2021 10:20:09 AM

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:LINDA VISTA STATE PRESCHOOLFACILITY NUMBER:
376700393
ADMINISTRATOR:NINA MAURICA-DIXONFACILITY TYPE:
850
ADDRESS:2772 ULRIC STREETTELEPHONE:
(858) 800-5450
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:24CENSUS: 0DATE:
08/13/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Todd KerrTIME COMPLETED:
10:30 AM
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On 8/13/21 Licensing Program Analyst Michael Morales-DeSilvestore conducted an announced case management visit for the purpose of measuring and approving the facilities new classroom. LPA met with Todd Kerr, Project Manager for Linda Vista State Preschool.

Facility is moving from classroom 7 to classroom 30 while classroom 7 is undergoing renovations. Classroom 30 was measured today to be 889.66 sq.ft. which is sufficient for 25 children. Temporary outdoor play space was measured today to be 1,856 sq.ft. which is sufficient for 24 children. Fire clearance was granted on 8/11/21 by San Diego Fire Prevention Bureau for 24 children. Across the hall, the Facility has 8 toilets available to preschool aged children, sufficient for 120 children and 4 sinks, sufficient for 60 children.

Facility includes room 30, restroom across the hall and temporary preschool playground.

Facility is approved today, 8/13/21, for 24 children.

The Project Manager 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: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
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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