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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700400
Report Date: 10/29/2021
Date Signed: 10/29/2021 12:31:57 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:BALDWIN ACADEMYFACILITY NUMBER:
376700400
ADMINISTRATOR:DARLA RODRIGUEZFACILITY TYPE:
850
ADDRESS:1752 HORNBLEND STREETTELEPHONE:
(858) 270-5995
CITY:SAN DIEGOSTATE: CAZIP CODE:
92109
CAPACITY:75CENSUS: 36DATE:
10/29/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Darla RodriguezTIME COMPLETED:
12:40 PM
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On 10/29/2021 at 12:00pm, Licensing Program Analyst (LPA) Selina Siao conducted a plan of correction visit to ensure that the citations issued on 10/20/2021 have been corrected. Upon arrival, LPA Siao met with Director Darla Rodriguez in the office and conducted a tour of all three preschool classrooms. The children were observed eating lunch, finishing lunch and getting ready to nap and the children in the two year old class were resting on napping mats. All the children had their mask in their cubbies or next to them at the table while eating and the two year old children had their mask in an individual zip lock bag with their names.

All staff members have the required background clearances and are associated to the facility. LPA cleared the citations issued on 10/20/2021.

Notice of cite visit issued and it must be remain posted for 30 days. Provided appeal rights to facility representative today.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2021
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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