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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370800967
Report Date: 09/14/2023
Date Signed: 09/14/2023 02:12:22 PM

Document Has Been Signed on 09/14/2023 02:12 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
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: 39DATE:
09/14/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Lisa Phipps, DirectorTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA), Edgar Campana conducted an unannounced case management inspection for the purpose of delivering an amended report originally created on 10/14/2022. Upon arrival, LPA met with director, Lisa Phipps and proceeded to tour the facility. Census at the time was 39 day care children.

No deficiencies issued during today's visit. An exit interview was conducted with director and the following was provided: Amended Report, LIC 809 and LIC 9213- Notice of Site Visit. LPA informed director that LIC 9213 must be posted for 30 days from today's date.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Edgar Campana
LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2023
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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