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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105074
Report Date: 08/05/2022
Date Signed: 08/05/2022 01:53:09 PM


Document Has Been Signed on 08/05/2022 01:53 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:EVERBROOK ACADEMY DBA PRESTIGE PRESCHOOL ACADEMYFACILITY NUMBER:
376105074
ADMINISTRATOR:AIMEE AINSWORTHFACILITY TYPE:
850
ADDRESS:7150 RANCHO SANTA FE ROADTELEPHONE:
(760) 891-0902
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY:146CENSUS: 57DATE:
08/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:24 AM
MET WITH:Director, Felicia Early TIME COMPLETED:
11:10 AM
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Licensing Program Analyst (LPA) Jennifer Lott conducted a Case Management visit to deliver an amended plan of correction. LPA was greeted at the front door by Director, Felicia Early and granted entry after identifying herself and disclosing the purpose of her visit. The purpose of LPA's visit was to deliver an amended plan of correction for a visit that was conducted on 07/25/2022.

During today's visit, LPA Lott met with Director, Felicia Early and obtained the Director's signature on the amended report LIC 809-D dated 07/25/2022.

An exit interview was conducted and a copy of this report was provided. A notice of site visit was given and must remain posted for 30 days.

LPA Lott informed Director Early that this report dated 07/25/2022, document(s) one Type A citation. Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
Also, LPA Lott informed Director Early, to provide a copy of this licensing report dated 07/25/2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE: 08/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/05/2022
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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