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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376701276
Report Date:
10/14/2019
Date Signed:
10/14/2019 03:50:39 PM
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office
,
3737 MAIN STREET, STE 700
RIVERSIDE
,
CA
92501
FACILITY NAME:
HAPPY TIMES CHILD DEVELOPMENT CENTER
FACILITY NUMBER:
376701276
ADMINISTRATOR:
BELEN ESTEBAN
FACILITY TYPE:
830
ADDRESS:
755 CIVIC CENTER DRIVE
TELEPHONE:
(760) 295-9475
CITY:
VISTA
STATE:
CA
ZIP CODE:
92084
CAPACITY:
22
CENSUS:
5
DATE:
10/14/2019
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
03:05 PM
MET WITH:
Diana Martinez, Lead Teacher
TIME COMPLETED:
03:55 PM
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Licensing Program Analyst (LPA) Ericka Smith met with
Diana Martinez, Lead Teacher, to conduct a case management.
SUPERVISOR'S NAME:
Telma Sandoval
TELEPHONE:
(951) 782-4950
LICENSING EVALUATOR NAME:
Ericka Smith
TELEPHONE:
(951) 255-4577
LICENSING EVALUATOR SIGNATURE:
DATE:
10/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/14/2019
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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