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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105046
Report Date: 09/02/2021
Date Signed: 09/02/2021 11:16:15 AM

Document Has Been Signed on 09/02/2021 11:16 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:PRIMROSE SCHOOLS 4S RANCHFACILITY NUMBER:
376105046
ADMINISTRATOR:BREEANNA MOTAFACILITY TYPE:
850
ADDRESS:17025 VIA DEL CAMPOTELEPHONE:
(858) 592-2335
CITY:SAN DIEGOSTATE: CAZIP CODE:
92127
CAPACITY: 176TOTAL ENROLLED CHILDREN: 0CENSUS: 31DATE:
09/02/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Breeanna MotaTIME COMPLETED:
11:30 AM
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On 9/2/21 Licensing Program Analyst Michael Morales-DeSilvestore conducted an unannounced case management visit for the purpose of a capacity decrease. LPA met with director Breeanna Mota and Owner Reena Dayal. There were 31 preschool children in care today.

Facility is requesting a decrease from 176 preschool children to 164 preschool children. Facility is transferring classroom 4 from their preschool license onto their infant license. New facility indoor activity space in rooms 1, 2, 3, 5, 6, 7, 8A & 8B measured at 6499.28 square feet which is sufficient for 185 children. Facility's outdoor playground measures at 11,682 square feet which is sufficient for 155 children at one time. Facility has 13 toilets and 15 sinks available for preschool children which is sufficient for 195 children.

Facility already has a playground waiver on file dated 4/30/21 for 155 children on the playground at one time.

Facility decrease to 164 children will be granted effective today.

The Director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. LPA provided notice of site visit and observed it being posted at the facility.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestore
LICENSING EVALUATOR SIGNATURE: DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/02/2021
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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