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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700698
Report Date: 02/16/2022
Date Signed: 02/16/2022 12:41:02 PM

Document Has Been Signed on 02/16/2022 12:41 PM - 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:NORTH COAST CHURCH PRESCHOOLFACILITY NUMBER:
376700698
ADMINISTRATOR:MARCIA BOECHEFACILITY TYPE:
850
ADDRESS:2405 NORTH SANTA FE AVENUETELEPHONE:
(760) 330-9200
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY: 165TOTAL ENROLLED CHILDREN: 140CENSUS: 74DATE:
02/16/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Marcia Boeche, DirectorTIME COMPLETED:
12:50 PM
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 February 16, 2022 at 12:00 PM, Licensing Program Analysts (LPAs) Nasha King and Cindy Hamilton were at the facility for the purpose of initiating a complaint investigation. After concluding the initial 10-day complaint visit, LPAs conducted a Case Management visit with the Director, Marcia Boeche.

Per review of Facility Personnel Report Summary, LIC536 and staff verification it was revealed that five staff members were not associated to the facility. LPAs were provided copies of DOJ Applicant Fingerprint Response letters from the staff files that the five staff had been fingerprinted and cleared, however the five staff were not associated to the facility. Therefore, the facility is being provided with a Technical Advisory on Regulation 101170(e)(2) Criminal Record Clearance.

An exit interview was conducted, a copy of this report and appeal rights were provided and discussed with Director.

A NOTICE OF SITE VISIT WAS ISSUED AND LPAs VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2022
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