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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700510
Report Date: 06/03/2019
Date Signed: 06/03/2019 03:42:35 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:CHILDREN'S CHOICE LEARNING CONNECTIONFACILITY NUMBER:
376700510
ADMINISTRATOR:TARYN HILLFACILITY TYPE:
850
ADDRESS:1268 & 1276 N. SECOND STREETTELEPHONE:
(619) 442-1685
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:55CENSUS: 35DATE:
06/03/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Jenni Grawvunder, Area Director TIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Michelle Hood arrived at the facility for a POC inspection. Upon arrival LPA met with Area Director. There were 35 children in care at the time of the inspection.

LPA reviewed facility roster and obtained a copy of it. LPA reviewed staff members YMCA training certifications. Deficiency cited on 02/22/2019, have been cleared effective today. Area Director was provided a copy of Letter of Deficiency Citations Cleared today.

The Area Director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. LPA observed Area Director posting the Notice of Site Visit.

Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov.

SUPERVISOR'S NAME: Jason GarayTELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2019
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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