<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700393
Report Date: 12/23/2022
Date Signed: 12/23/2022 10:47:19 AM


Document Has Been Signed on 12/23/2022 10:47 AM - 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: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:
12/23/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Josephine CondraTIME COMPLETED:
11:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 12/23/2022 @ 10AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an announced case management inspection. The program is on Winter break and not operating at this time. No children were present. LPA met with Josephine Condra, Project Resource Teacher. Licensee has requested to use Room #13 in Building 300 temporarily while the children's classroom is in construction. Fire clearance was received on 12/21/2022 from Fire Marshall Jordan Harrer (San Diego Fire Prevention Bureau) clearing Room #13.

Observed in the classroom today were age-appropriate materials and furnitures. Each child will have their own water container. Food is to be provided by school. Medications are to be stored at the Nurse's office.

This classroom measured 908 ft. will accommodate 25 preschool children. The restroom is located across the classroom and is shared with the elementary school children. A waiver request has been submitted requesting to share the bathroom.

Outdoor play is located in the Building 200. A waiver request is to be submitted to share this outdoor play space with UTK.

Please submit the following forms: LIC 500 & LIC 610.

Exit interview was conducted with Mrs. Condra. A copy of this report and appeal rights were provided. Notice of site visit was provided and observed posted. This notice shall remain posted for 30 days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 12/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/23/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1