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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701430
Report Date: 10/26/2020
Date Signed: 10/26/2020 04:18:22 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:VILLAGE BLOOM CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376701430
ADMINISTRATOR:PAULINE ASCUEFACILITY TYPE:
850
ADDRESS:448 RANCHO SANTA FE ROADTELEPHONE:
(760) 704-8314
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:46CENSUS: DATE:
10/26/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Director Pauline AscueTIME COMPLETED:
03:30 PM
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On 10/26/20 @ 3:00 p.m., Licensing Program Analyst, Joelle Redding, conducted a TeleVisit case management inspection due to Covid 19 restrictions. The purpose of this inspection is to evaluate the facility for approval of the requested increase in capacity from 46 to 48 children, ages 2 thru kindergarten.

Application was received on 9/17/2020. Fire clearance was received on 10/20/2020. The former office space, which the facility is asking to add as the Pre-K room, was measured today. The rooms in the building are connected by doors and will be used as one space for a group of 8 children. The total square footage is 404 sq. ft., increasing the faciity's total square footage from 1767 to 2171 sq. ft. which is more than sufficient for the requested capacity. The classrooms are set up for appropriate social distancing and equipped with informational posters and other Covid-19 safety precautions per the Department of Public Health guidelines. LPA revisited Covid-19 guidelines.

Outdoor space is sufficient for 48 children, measuring a total of 3609 sq. ft.. There are five toilets, one urinal, and six sinks available for use. The extra building was mistakenly omitted from the original fire clearance request. Once the amended clearance is received, the facility's request for increase in capacity is granted. An updated license will be sent for posting.

This report will be delivered via email, due to Covid-19 restrictions. Reply to the email is considered confirmation of receipt.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2020
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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