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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700796
Report Date: 12/13/2021
Date Signed: 12/13/2021 02:52:09 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:EES - CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376700796
ADMINISTRATOR:MARIA NARANJOFACILITY TYPE:
850
ADDRESS:6960 LINDA VISTA ROADTELEPHONE:
(858) 278-2457
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:56CENSUS: 25DATE:
12/13/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maria Naranjo, DirectorTIME COMPLETED:
12:45 PM
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On 12/13/21 at about 10:00 AM, Licensing Program Analysts (LPAs) Daniel Pena and Samantha Clenista conducted an unannounced Case Management inspection. LPAs were greeted at the front of the facility by Director, Maria Naranjo and granted entry after identifying themselves and disclosing the purpose of their visit. Observed present today were 25 children and 11 staff. There are three classrooms currently designated for preschool use. Hours of Operation: 7:30 AM to 5:00 PM - Monday-Friday.

The visit was initiated due to a self-reported incident involving child #1(C1). Director was provided the LIC811 Confidential Names to identify C1. The licensee’s authorized representative, Director Naranjo reported this incident by submitting form LIC 624 – Unusual Incident/Injury Report to Community Care Licensing (CCL), which was received in our office on 12/07/2021.

During today’s visit, LPAs conducted a brief tour of the center, obtained a copy of the facility roster, conducted interviews and reviewed child and staff records. Based on today’s visit, no deficiencies were observed at this time. Exit interview conducted and report was reviewed with Director Naranjo. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Daniel PenaTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021
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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