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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701361
Report Date: 02/22/2021
Date Signed: 02/22/2021 02:49:17 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:FUTURE ACHIEVERS PRESCHOOL/LOGAN HEIGHTS CDCFACILITY NUMBER:
376701361
ADMINISTRATOR:SHANNON HONTZFACILITY TYPE:
850
ADDRESS:3040 IMPERIAL AVENUETELEPHONE:
(619) 947-9689
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:64CENSUS: 29DATE:
02/22/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Ebony James, OwnerTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Diana Sanchez, conducted a Case Management inspection via video conference (WhatsApp), due to the COVID-19 state of emergency. LPA video connect with owner Ebony James, who was advised of the purpose of today's inspection is in response to their request to inspect the new installed playground structure. There were 29 children, 3 teachers and director present during today's inspection.

LPA proceeded to video inspect the playground area and the new installed playground structure. The structure has been properly secured to the ground. It is age appropriate 2-5 years of age. Playground structure has wood chips approximately 10 inches high from the ground to absorbed children's fall.
Structure seems to be installed accordingly with the manufacture's recommendation and has been approved for children's use effective today 2/22/2021.

No deficiencies were cited during today's inspection. An exit interview was conducted with Ebony James and a copy of this report will be emailed. Owner Ebony was advised that acknowledgement and receipt of the report is to be received within twenty-four hours.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021
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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