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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005063
Report Date: 04/15/2022
Date Signed: 04/15/2022 12:59:08 PM

Document Has Been Signed on 04/15/2022 12:59 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:CHILDREN'S PRESCHOOL LEARNING CENTERFACILITY NUMBER:
372005063
ADMINISTRATOR:RENEE ERICKSONFACILITY TYPE:
850
ADDRESS:13168 POWAY ROADTELEPHONE:
(858) 748-5519
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY: 55TOTAL ENROLLED CHILDREN: 55CENSUS: 28DATE:
04/15/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Renee EricksonTIME COMPLETED:
01:15 PM
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On 4/15/22 at 1:00 PM, Licensing Program Analyst (LPA) Keturah Lane visited the facility for a proof of corrections (POC) visit. LPA Lane arrived at the facility at 11 AM to conduct an annual inspection of the school age license. LPA Lane had been at the facility yesterday (4/14/22) to conduct the annual for the preschool and the facility was cited a Type B citation for carbon monoxide detectors that were not functioning properly. Upon arrival LPA met with Director Renee Erickson and proceeded to tour the facility. During today's inspection, there were 28 children with 3 staff members. Appropriate ratios and capacity were observed. Appropriate care & visual supervision were also observed during the inspection while children were transitioning from lunch to naptime. Director Renee Erickson showed LPA Lane the new carbon monoxide detector that was installed. It tested and functions properly. LPA Lane cleared the citation and provided Director with the clearance letter.

No deficiencies were cited at this inspection.

Exit interview conducted and report was reviewed with Director Renee Erickson. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE: DATE: 04/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/15/2022
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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