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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370805130
Report Date: 10/17/2024
Date Signed: 10/17/2024 11:52:29 AM

Document Has Been Signed on 10/17/2024 11:52 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ASSOCIATED STUDENTS CHILD CARE CENTERFACILITY NUMBER:
370805130
ADMINISTRATOR/
DIRECTOR:		MICHELLE ZAMORAFACILITY TYPE:
850
ADDRESS:5500 CAMPANILE DRIVETELEPHONE:
(619) 594-7941
CITY:SAN DIEGOSTATE: CAZIP CODE:
92182
CAPACITY: 136TOTAL ENROLLED CHILDREN: 136CENSUS: 102DATE:
10/17/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:52 AM
MET WITH:Michelle Zamora & Patty ReaTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 10/17/2024 @ 8:52AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced case management inspection as a follow-up to the initial inspection conducted on 9/25/2024.

LPA met with Michelle Zamora, Site Director and Patty Rea, Assoc. Executive Director. Present today were 102 children. LPA interviewed staff and child today.

Due to insufficient information available at this time, this needs further follow-up.

There were no deficiency cited today.

Exit interview was conducted with Mrs. Zamora. Report was reviewed and provided. Notice of site visit was also given to be posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2024
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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