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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376701041
Report Date:
11/23/2021
Date Signed:
11/23/2021 09:12:40 AM
Document Has Been Signed on
11/23/2021 09:12 AM
- 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:
EARLY LEARNERS CHILDREN'S ACADEMY
FACILITY NUMBER:
376701041
ADMINISTRATOR:
MARLA RAMIREZ
FACILITY TYPE:
830
ADDRESS:
4050 TAYLOR STREET
TELEPHONE:
(619) 291-5200
CITY:
SAN DIEGO
STATE:
CA
ZIP CODE:
92110
CAPACITY:
24
TOTAL ENROLLED CHILDREN:
24
CENSUS:
37
DATE:
11/23/2021
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
08:50 AM
MET WITH:
Director Marla Ramirez
TIME COMPLETED:
09:20 AM
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On 11/23/21 @ 8:50 a.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit to deliver an amended LIC 9099.
SUPERVISORS NAME
:
Renesha Pack
LICENSING EVALUATOR NAME
:
Joelle Redding
LICENSING EVALUATOR SIGNATURE
:
DATE:
11/23/2021
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/23/2021
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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