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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105104
Report Date: 05/31/2024
Date Signed: 05/31/2024 09:30:37 AM


Document Has Been Signed on 05/31/2024 09:30 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:RHOADES PRESCHOOLFACILITY NUMBER:
376105104
ADMINISTRATOR:CHERYL MOLENKAMPFACILITY TYPE:
850
ADDRESS:520 BALOUR DRIVETELEPHONE:
(408) 973-7320
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:80CENSUS: DATE:
05/31/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Cheryl MolenkampTIME COMPLETED:
09:45 AM
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On 5/31/24, LPA Patrick Ma made a case management visit to amend 5/23/34 LIC 9099 report.

Exit interview conducted and amended report was reviewed with facility representative Director Cheryl Molenkamp. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick MaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2024
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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