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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370805052
Report Date: 07/27/2023
Date Signed: 07/27/2023 12:37:16 PM

Document Has Been Signed on 07/27/2023 12:37 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:WOW CHRISTIAN PRESCHOOLFACILITY NUMBER:
370805052
ADMINISTRATOR:SALLY GUTIERREZFACILITY TYPE:
850
ADDRESS:9140 AKARD STREETTELEPHONE:
(619) 267-0885
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY: 51TOTAL ENROLLED CHILDREN: 24CENSUS: 11DATE:
07/27/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Sandra Susana Tingle TIME COMPLETED:
10:00 AM
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On July 27th, at 8:15AM, Licensing Program Analyst (LPA) David Miller conducted a case management inspection to follow-up on a self reported incident regarding an alleged possible personal rights violation of child 1 (C1). LPA advised the Assistant Director, Sandra Susana Tingle of the inspection’s purpose and was granted facility entry. The Assistant Director, Sandra Susana Tingle, provided LPA with a facility tour.

During the tour of the facility, there were 11 children, one teacher and one teacher's aide in the 3-year old classroom.



During this inspection, LPA interviewed the Director, staff, and daycare children. The child in question no longer attends the daycare. No deficiencies cited.

Staff was provided with A Notice of Site Visit (LIC 9213), which is to be posted for thirty (30) days. An exit interview was conducted with the Assistant Director, Sandra Susana Tingle. Licensee/Appeal Rights (LIC 9098) along with a copy of this report was provided to the assistant Director, Sandra Susana Tingle and their signature on this form confirms receipt of these rights.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2023
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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