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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700936
Report Date: 07/28/2022
Date Signed: 07/28/2022 01:07:28 PM


Document Has Been Signed on 07/28/2022 01:07 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:ASPEN LEAF PRESCHOOLFACILITY NUMBER:
376700936
ADMINISTRATOR:RANDI SCHWARTZFACILITY TYPE:
850
ADDRESS:3518 THIRD AVENUETELEPHONE:
(619) 501-8899
CITY:SAN DIEGOSTATE: CAZIP CODE:
92103
CAPACITY:29CENSUS: 16DATE:
07/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:48 PM
MET WITH:Randi Schwartz, Facility DirectorTIME COMPLETED:
01:06 PM
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On 07/28/2022 at 12:48 PM, Licensing Program Analyst (LPA), Marie Hernandez conducted an unannounced Case Management Inspection for the purpose of delivering the amended report of 01/19/2022. LPA met with the Facility Director, Randi Schwartz. There were sixteen children with seven staff.

An exit interview was conducted and a copy of the report and the appeal rights were provided to the Facility Director, Randi Schwartz.

SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2022
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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