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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370800551
Report Date: 06/21/2023
Date Signed: 06/21/2023 03:40:31 PM

Document Has Been Signed on 06/21/2023 03:40 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ST ANDREWS EPISCOPAL PARISH DAY SCHOOLFACILITY NUMBER:
370800551
ADMINISTRATOR:JOANNE ROSEFACILITY TYPE:
850
ADDRESS:4816 GLEN STREETTELEPHONE:
(619) 469-5330
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY: 90TOTAL ENROLLED CHILDREN: 101CENSUS: 63DATE:
06/21/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Juliann ScolariTIME COMPLETED:
01:15 PM
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On 6/21/2023 at 12:15pm., Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection to follow up on a self - reported incident. Upon arrival, LPA Williamson met with Director, Juliann Scolari. LPA discussed the purpose of the inspection and proceeded to tour the facility. There were 63 children and 12 staff present during the time of inspection.

On 6/15/2023, the director self- reported an incident regarding an alleged possible lack of supervision involving Child 1 (C1) sustaining and injury that required medical attention. Per Director, the alleged incident occurred on 6/14/2023 at about 11:30 am.

During today’s inspection, LPA conducted interviews with the director, staff and C1. LPA obtained documentation and reviewed records for C1.

No deficiencies cited during today’s inspection. An exit interview was conducted with Director, Juliann Scolari and a copy of this report, Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2023
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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