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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105156
Report Date: 11/06/2023
Date Signed: 11/06/2023 09:45:15 AM

Document Has Been Signed on 11/06/2023 09:45 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ORANGE TREE CHRISTIAN PRESCHOOLFACILITY NUMBER:
376105156
ADMINISTRATOR:LESLIE LUCYFACILITY TYPE:
850
ADDRESS:10770 RICKERT ROADTELEPHONE:
(949) 458-1382
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 0DATE:
11/06/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Leslie LucyTIME COMPLETED:
09:40 AM
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On 11/06/2023 at 9am, Licensing Program Analyst (LPA), Samantha Clenista virtually (via Zoom) met with Licensee Representative, Leslie Lucy, for an office meeting. The purpose of today's meeting was to review pending documents listed on the LIC184C - Notice of Incomplete Application (NOIA).

LPA reviewed and discussed the pending documents listed in LIC184C in detail and answered any questions Ms. Lucy had.

An exit interview was conducted with Ms. Lucy.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2023
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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