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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701251
Report Date: 01/31/2022
Date Signed: 02/15/2022 01:14:33 PM


Document Has Been Signed on 02/15/2022 01:14 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 NURSERYFACILITY NUMBER:
376701251
ADMINISTRATOR:NANETTE ARNOLDFACILITY TYPE:
830
ADDRESS:3111 30TH STREETTELEPHONE:
(619) 285-0767
CITY:SAN DIEGOSTATE: CAZIP CODE:
92104
CAPACITY:6CENSUS: 5DATE:
01/31/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Nanette ArnoldTIME COMPLETED:
02:45 PM
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On 1/31/2022 at 2:20pm, Licensing Program Analysts (LPAs), Martha Malane and Casey Gulley arrived at the facility to conduct an unannounced Plan of Correction (POC) inspection to follow up on deficiency cited on 01/19/2022. Upon arrival, LPAs met with facility representative, Nanette Arnold and toured the facility. There were five (5) infant children and two (2) staff present in the infant classroom.

During today’s inspection, LPAs observed all staff wearing face coverings. LPAs conducted follow up interviews with facility staff and confirmed facility COVID policy has been updated.

During inspection, deficiency cited on 01/19/2022 was cleared and POC clearance letter provided to facility representative, Nanette Arnold. Facility representative, Nicole Arnold was provided appeal rights (LIC9058 01/16) and their signature on this form acknowledges receipt of these rights. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with facility representative, Nanette Arnold.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2022
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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