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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701467
Report Date: 10/05/2020
Date Signed: 10/05/2020 03:49:47 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:KINDERLAND MONTESSORIFACILITY NUMBER:
376701467
ADMINISTRATOR:CAROLINA VALENCIAFACILITY TYPE:
840
ADDRESS:625 OTAY LAKES ROADTELEPHONE:
(619) 479-4007
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:26CENSUS: 0DATE:
10/05/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Carolina ValenciaTIME COMPLETED:
04:00 PM
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On 10/5/20 at 3:30pm Licensing Program Analyst (LPA), Martha Malane conducted an announced final pre-licensing tele-conference inspection via FaceTime due to the COVID-19 state of emergency. LPA Malane met with applicants Carolina Valencia and Vanessa Valencia and toured the facility. The purpose of the inspection is to follow-up on corrections from pre-licensing inspection on 9/30/20.

The following corrections were made:
· Updated fire clearance, with capacity requested of 51 and classroom #3 added was received
· Fencing to separate school age and infant play yards
· Cushioning under climbing structures

LPA Malane received updated fire clearance with the requested capacity of 51 on 10/5/2020. LPA Malane observed the newly installed fence separating the school age and infant play yards. Applicant stated the fence is secure. Sufficient cushioning under school age climbing structures was observed.

A license for 51 school age children ages 5 - 12 in classrooms #3, #4 and #5 shall be issued effective today’s date, 10/5/20. The license will be mailed to the facility and upon receipt shall be posted in a prominent place in the facility. An exit interview was conducted and a copy of the report will be e-mailed to applicant. Applicant was advised that acknowledgement of receipt of the report is to be received within twenty-four hours.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2020
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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