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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701078
Report Date: 02/18/2021
Date Signed: 02/18/2021 03:28:01 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:EASTER SEALS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376701078
ADMINISTRATOR:SAMANTHA FERGUSONFACILITY TYPE:
850
ADDRESS:2240 ENCINITAS BOULEVARD STE HTELEPHONE:
(760) 635-2600
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:70CENSUS: 2DATE:
02/18/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Director Samantha FergusonTIME COMPLETED:
03:25 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 2/1/2021 @ 4:00 p.m. Licensing Program Analysts, Joelle Redding and Patrick Ma, conducted a virtual case management inspection due to Covid-19 restrictions. The purpose of this visit is to revisit and review Department of Public Health Guidelines regarding Covid-19.

The facility completed a self assessment guide which was reviewed during this visit. The classrooms were toured to ensure adequate social distancing. Sufficent and up to date resources are on hand. Covid-19-related safety and informational posters are visibly posted for parents, children and staff. Facility staff, parents and children are routinely reminded of proper procedures to ensure safety.

This report will be delivered via email due to Covid-19 restrictions, along with the Notice of Site visit (post for 30 days). Facility's reply to this email is considered signature and confirmation of receipt.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2021
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