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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370800967
Report Date: 05/17/2023
Date Signed: 05/17/2023 11:04:26 AM

Document Has Been Signed on 05/17/2023 11:04 AM - It Cannot Be Edited

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:CITY TREE CHRISTIAN SCHOOLFACILITY NUMBER:
370800967
ADMINISTRATOR:LISA PHIPPSFACILITY TYPE:
850
ADDRESS:320 DATE STREETTELEPHONE:
(619) 232-3794
CITY:SAN DIEGOSTATE: CAZIP CODE:
92101
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 50DATE:
05/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Lisa PhippsTIME COMPLETED:
11:15 AM
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On 5/17/2023 at 10:30 am, Licensing Program Analyst (LPA) Edgar Campana conducted an unannounced case management inspection regarding a self - reported incident. Upon arrival, LPA met with Director, Lisa Phipps. LPA discussed the purpose of the inspection and proceeded to tour the facility. During the inspection there were 50 children, and 8 staff present.

On 05/03/23, the director self- reported an incident regarding a child who slipped from a bar in the playground play structure and chipped a tooth. Center director Phipps led LPA on a tour of the playground and the play structure was inspected. LPA did not observe any damage, disrepair, or unsafe conditions on or near the play structure where the incident occurred.

No deficiencies cited. Exit interview conducted with Director Lisa Phipps 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: Jason Garay
LICENSING EVALUATOR NAME: Edgar Campana
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2023
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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