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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600096
Report Date: 07/30/2024
Date Signed: 11/04/2024 03:14:26 PM

Document Has Been Signed on 11/04/2024 03:14 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:LA PETITE ACADEMY - EAST JFACILITY NUMBER:
376600096
ADMINISTRATOR/
DIRECTOR:		TARA REESEFACILITY TYPE:
850
ADDRESS:798 EAST J STREETTELEPHONE:
(619) 421-0966
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 108TOTAL ENROLLED CHILDREN: 108CENSUS: 55DATE:
07/30/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Angelica ValderramaTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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On 7/30/24 at 1:00pm, LPA Adrian Castellon conducted a Case Management inspection. The purpose of the inspection is to deliver and amended report. Please see LIC9099 dated 5/8/24. LPA met with assistant director Angelica Valderrama and discussed the purpose of the inspection.

This LIC809 will be used to memorialize the delivering of the amended report.

No citations issued on this date.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/30/2024
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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