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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701402
Report Date: 04/14/2023
Date Signed: 04/14/2023 02:16:51 PM


Document Has Been Signed on 04/14/2023 02:16 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:HILLTOP PRESCHOOLFACILITY NUMBER:
376701402
ADMINISTRATOR:MARLA MARTINFACILITY TYPE:
850
ADDRESS:12348B CASA AVENIDATELEPHONE:
(858) 486-6712
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:125CENSUS: 63DATE:
04/14/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Marla MartinTIME COMPLETED:
02:30 PM
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On 4/14/2023 @11:20am, Licensing Program Analyst (LPA) Patrick Ma, made an unannounced Case Management inspection regarding a possible personal rights violation indicated on a self-report made on 3/27/23. LPA met with Director, Marla Martin. Present at the facility were 63 daycare children and 13 staff in 5 rooms.

During this visit, LPA interviewed staff and children, toured the facility, and reviewed related documents. Teachers and children were observed engaging with activities appropriately and maintaining all personal rights.

No deficiencies were cited during this visit.

Exit interview conducted and report was reviewed with the facility representative Marla Martin. A notice of site visit was given and must remain posted for 30 days
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick MaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 04/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2023
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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