<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701434
Report Date: 12/11/2019
Date Signed: 12/11/2019 03:55:11 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:ADVENTURE POINT EARLY LEARNING CENTERFACILITY NUMBER:
376701434
ADMINISTRATOR:TIMOTHY CAPTAINFACILITY TYPE:
830
ADDRESS:1805 E. 17TH STREETTELEPHONE:
(303) 968-4321
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY:46CENSUS: 7DATE:
12/11/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Kim HollowayTIME COMPLETED:
04:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Yolanda Baez arrived at the facility to conduct a case management inspection and met with Director, Kim Holloway. The purpose of today's case management inspection was to investigate a self reported incident that occurred on 11/27/19 and sent via FAX on 12/01/2019. Director followed appropriate reporting procedures. There were 7 infants present during today's inspection.

Interviews were conducted. Video surveillance was not able to be observed due to it being deleted because more than 7 days have passed. There were not any deficiencies issued throughout today's inspection. Notice of Site Visit is to be posted for 30 days and LPA observed the Director posting the Notice of Site Visit.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1