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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372000465
Report Date: 11/06/2023
Date Signed: 11/07/2023 11:20:30 AM

Document Has Been Signed on 11/07/2023 11:20 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 CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:POINT LOMA COMMUNITY CHURCH PRESCHOOLFACILITY NUMBER:
372000465
ADMINISTRATOR:NICOLE HAGEFACILITY TYPE:
850
ADDRESS:2128 CHATSWORTH BOULEVARDTELEPHONE:
(619) 223-3327
CITY:SAN DIEGOSTATE: CAZIP CODE:
92107
CAPACITY: 120TOTAL ENROLLED CHILDREN: 94CENSUS: 68DATE:
11/06/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nicole HageTIME COMPLETED:
01:00 PM
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On 11/6/23 at 11:00am, Licensing Program Analyst (LPA), Martha Malane arrived at the facility to conduct a case management inspection for the purpose of a capacity decrease and to remove the current TLC3 classroom from the license and change the name of Room 5 to TLC3.. Upon arrival, LPA met with Director, Nicole Hage and was led on a tour of the facility. There were 68 children and 13 staff members present. Hours of operation are Monday through Friday 7:30am - 5:00pm.

The facility is requesting a capacity decrease to 90 preschool children, ages 2-Kindergarten. Classrooms 1, 2, 3, 4, TLC1, TLC2, TLC3 (formerly room 5) were inspected and previously measured a total of square 5055 square feet which is sufficient to accommodate the requested capacity. Classrooms were equipped with age-appropriate furniture, including cots for napping, tables, chairs, cubbies, bookshelves and other materials for children. There are eight (8) toilets and 12 sinks for children’s use, which is sufficient to accommodate the requested capacity.

The outdoor activity space was inspected and measured a total of 9527.55 square feet which is sufficient to accommodate the requested capacity.

No deficiencies cited.



The following is required:
1. Panel on outdoor activity space secured
2. Updated fire clearance

A capacity decrease to 90 preschool children, ages 2-Kindergarten in classrooms Classrooms 1, 2, 3, 4, TLC1, TLC2, TLC3 (formerly room 5) may be granted after the above requirements are met and a final file review.

Exit interview conducted with Director, Nicole Hage. Notice of Site Visit shall be posted for 30 days from today's date. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2023
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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