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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700655
Report Date: 08/08/2019
Date Signed: 08/08/2019 03:25:45 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:ST. VINCENT PRESCHOOLFACILITY NUMBER:
376700655
ADMINISTRATOR:JOETTE CORRELAFACILITY TYPE:
850
ADDRESS:4077 IBIS STREETTELEPHONE:
(619) 296-2261
CITY:SAN DIEGOSTATE: CAZIP CODE:
92103
CAPACITY:50CENSUS: 0DATE:
08/08/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Teresa Goebeki/Book KeeperTIME COMPLETED:
03:30 PM
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Licensing Program Analyst Selina Siao conducted an unannounced case management visit for the purpose of capacity increase. Facility is currently licensed to operate in the PK1 (Little Viking) and PK2 (Junior Viking). Toddler Viking is the new classroom that the facility would like to include to be part of the preschool. Analyst met with Book Keeper Teresa Goebeki as the preschool is not in session and the preschool will resume on August 21, 2019. Analyst inspected and measured all three classrooms today. The rooms measured 2123.497 square feet, which is sufficient for 60 children. The rooms are currently equipped with age-appropriate furniture and equipment, including tables, chairs, cubbies, nap mats, shelves, and other supplies for the children. Portable drinking water will be available in the classrooms. There is an office alcove in each classroom that was not counted in the square footage. There is a bathroom in each room, each with two toilets and two sinks which are sufficient for up to 90 children.

The outdoor play area was previously measured to be 2,944 square feet and it is sufficient for 39 children and a waiver for outdoor play area is already in place. A capacity of 60 will be granted effective today.

A fire clearance for 64 was granted on 08/01/2019.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
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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