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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700787
Report Date: 09/08/2023
Date Signed: 09/08/2023 12:37:56 PM


Document Has Been Signed on 09/08/2023 12:37 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108



FACILITY NAME:ECS 4TH AND D HEAD STARTFACILITY NUMBER:
376700787
ADMINISTRATOR:MELISA RUGAMAFACILITY TYPE:
850
ADDRESS:385 D STREETTELEPHONE:
(619) 591-9136
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:37CENSUS: 0DATE:
09/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:TIME COMPLETED:
12:40 PM
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On 9/8/23 at 11:15am, Licensing Program Analyst Adrian Castellon conducted a case management inspection. LPA Castellon met with Nerissa Torralba. The purpose of the inspection is to reactivate the facility. LPA toured the the facility, inside and out. Care will be provided in classrooms #1 and #2 Days and hours of operation will be Monday through Friday 8:00am to 3:30pm. Facility will serve children ages 2-5 years. Capacity will remain at 37. Currently there are no children enrolled.

Fire extinguisher, carbon monoxide detector and smoke detector are present. Indoor and outdoor areas are free of any harmful objects. There are no changes to the indoor and outdoor areas previously used. A new air conditioning unit has been installed. New furniture has been added.

An exit interview was conducted and a copy of this report was given to licensee. Facility license is reactivated.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:
DATE: 09/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/08/2023
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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