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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105050
Report Date: 05/19/2021
Date Signed: 05/19/2021 01:56:11 PM

Document Has Been Signed on 05/19/2021 01:56 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:PLAYGROUND LEARNING CENTER, THEFACILITY NUMBER:
376105050
ADMINISTRATOR:SHENEA WHITEFACILITY TYPE:
850
ADDRESS:237 AVOCADO AVENUETELEPHONE:
(619) 724-6350
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 30TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
05/19/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Shenea WhiteTIME COMPLETED:
11:15 AM
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On 05/19/2021 at 10:30am, Licensing Program Analyst (LPA) Samantha Salunga met with Shenea White (Applicant). Due to COVID-19 state of emergency, this meeting was completed via video conferencing (Zoom). The purpose of today's meeting is to review LIC184C together and clarify anything that Applicant had questions on.

LPA reviewed entire application and observed that the following areas needed updating/correcting: LIC200A, LIC308, LIC401, LIC500, LIC610, LIC999, director's packet, job descriptions, personnel policies, in-service training plan, parent handbook, Incidental Medical Services- Plan of Operation, admission agreement, list of furniture, daily schedule, sample menu and rental agreement. LPA discussed all areas in detail with Applicant and she confirmed she will submit all discussed corrections to LPA no later than 06/14/2021.

A copy of this report was reviewed and will be e-mailed to Applicant. LPA advised that a response to the email confirming receipt is to be received within twenty-four hours. This will act as her signature on today’s report.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Salunga
LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2021
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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