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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701010
Report Date: 08/07/2019
Date Signed: 08/07/2019 09:33:05 AM

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:SAY-STANDLEY EXTENDED DAY PROGRAMFACILITY NUMBER:
376701010
ADMINISTRATOR:STEPHANIE ROBINSONFACILITY TYPE:
840
ADDRESS:6298 RADCLIFFE DRIVETELEPHONE:
(858) 688-2195
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY:35CENSUS: 0DATE:
08/07/2019
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Lini KoriaTIME COMPLETED:
09:40 AM
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LPA Nancy Diaz conducted an announced case management inspection in reference to licensee's request for an increase of capacity. There were no children present as the program is not in session. LPA met with Lini Koria, Senior Program Director. LPA toured all areas accessible to children. The children will have access to the following areas: Room B2 & Room 316. There is sufficient indoor and outdoor space available for the school-age children. Staff are aware that children are to be visually supervised at all times. The bathroom stalls have doors to provide privacy.

An increase of capacity is to be approved upon receipt of Fire Marshall inspection clearance. Licensee has requested an increase from 35 to 70 children.

Forms to be submitted: LIC 500 & LIC 610.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019
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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