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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701134
Report Date: 01/19/2022
Date Signed: 01/19/2022 11:23:25 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:SILVERMAN GINSBURG INFANT CENTERFACILITY NUMBER:
376701134
ADMINISTRATOR:AMY STANLEYFACILITY TYPE:
830
ADDRESS:6660 COWLES MOUNTAIN BOULEVARDTELEPHONE:
(619) 697-1948
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY:40CENSUS: 12DATE:
01/19/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:12 AM
MET WITH:TIME COMPLETED:
11:20 AM
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On 1/19/22, Licensing Program Analyst (LPA), Tyra Bock, conducted a Case Management-visit to deliver an amended report for the visit conducted on 10/20/21. Report was amended to make it PUBLIC. LPA met with Interim Director, Jen Low. Amended report was signed and provided 1/19/22.

During this visit the written report was completed and signed. Notice of Site Visit was provided. It must be posted for 30 days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2022
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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