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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701480
Report Date: 10/22/2021
Date Signed: 10/22/2021 02:09:38 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:LEMON GROVE CHILDCARE CENTERFACILITY NUMBER:
376701480
ADMINISTRATOR:BLANCA BROWNFACILITY TYPE:
850
ADDRESS:3468 CITRUS STREET, SUITE ATELEPHONE:
(619) 818-0149
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY:30CENSUS: 0DATE:
10/22/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:37 PM
MET WITH:Blanca BrownTIME COMPLETED:
02:15 PM
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On 10/22/21 at 1:37pm, Licensing Program Analyst (LPA), Martha Malane met with applicant Blanca Brown at the San Diego Regional Office. The purpose of today's meeting is to update application documents previously submitted.

LPA reviewed the needed updates with applicant. Applicant updated and provided a parent handbook, employee handbook,LIC200A, LIC308, LIC401 and LIC999 during today’s meeting.

Applicant will submit an updated admission agreement.

A copy of this report was reviewed and provided during today's visit.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2021
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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