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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701257
Report Date: 05/13/2020
Date Signed: 05/13/2020 08:47:13 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:KID VENTURESFACILITY NUMBER:
376701257
ADMINISTRATOR:KAREN NILSSONFACILITY TYPE:
850
ADDRESS:10760 THORNMINT ROADTELEPHONE:
(858) 207-6088
CITY:SAN DIEGOSTATE: CAZIP CODE:
92127
CAPACITY:15CENSUS: 0DATE:
05/13/2020
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
08:03 AM
MET WITH:Darren SolomonTIME COMPLETED:
08:30 AM
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On 05/13/20 at 8:03 a.m., Licensing Program Analyst (LPA) Rajani Goudreau conducted a virtual case management inspection in order to deliver an amended report originally created on 01/07/20. LPA met with owner, Darren Solomon and proceeded to tour the facility. There were no children in care at time of visit. Facility operation hours are Monday through Friday from 9:00 a.m. to 3:00 p.m.


No deficiencies issued during today's visit. LPA conducted an exit interview with owner. LPA discussed and will provide the following to owner: LIC809 and LIC9213-Notice of Site Visit and appeal rights. LPA informed licensee once Notice of Site Visit is received to post for 30 days from today's date. COVID-19 State of emergency read receipt notification will be used in place of owners’ signature.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2020
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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