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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374845606
Report Date: 10/21/2021
Date Signed: 10/21/2021 01:27:26 PM

Document Has Been Signed on 10/21/2021 01:27 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:VISION TRILINGUAL PRESCHOOL SAN MARCOSFACILITY NUMBER:
374845606
ADMINISTRATOR:KARYNE BEGINFACILITY TYPE:
850
ADDRESS:403 N TWIN OAKS VALLEY RD #114TELEPHONE:
(760) 752-1791
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: DATE:
10/21/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Teacher Alfonso RosalesTIME COMPLETED:
12:00 PM
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On 10/21/21 @ 11:35 a.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit to interview Child #1.

Notice of Site Visit was provided for posting and will remain posted for 30 days.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2021
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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