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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700918
Report Date: 06/24/2022
Date Signed: 06/24/2022 03:11:14 PM


Document Has Been Signed on 06/24/2022 03:11 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:GRACE KIDS CHRISTIAN PRESCHOOLFACILITY NUMBER:
376700918
ADMINISTRATOR:COLLEEN TERANFACILITY TYPE:
850
ADDRESS:2716 MADISON AVENUETELEPHONE:
(619) 269-8080
CITY:SAN DIEGOSTATE: CAZIP CODE:
92116
CAPACITY:109CENSUS: 45DATE:
06/24/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Mary MoserTIME COMPLETED:
03:30 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 6/24/22, at 2:10pm, Licensing Program Analyst (LPA), Martha Malane conducted a case management inspection for the purpose of providing Technical Assistance (TA) regarding COVID-19. Upon arrival, LPA met with Assistant Director, Mary Moser and proceed to tour the facility. There were 45 children and eight (8) staff present. Hours of operation are Monday – Friday 7:00am – 6:00pm.

Assistant Director stated the facility continues with COVID-19 protocols for cleaning, sanitizing and daily health checks for staff and children. LPA provided assistant director with PIN 22-18-CCP which provides guidance and resources for COVID-19. Assistant director follows reporting requirements with Community Care Licensing and the San Diego Health Department and works closely with both departments to help prevent the spread of COVID-19.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies were cited.

An exit interview was conducted with Assistant Director, Mary Moser.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:
DATE: 06/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/24/2022
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