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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600344
Report Date: 01/25/2023
Date Signed: 01/25/2023 10:11:38 AM

Document Has Been Signed on 01/25/2023 10:11 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:KINDERCARE PASEO MONTRIL INFANTFACILITY NUMBER:
376600344
ADMINISTRATOR:ALMA GANDARILLAFACILITY TYPE:
830
ADDRESS:10065 PASEO MONTRILTELEPHONE:
(858) 484-3232
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: DATE:
01/25/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:TIME COMPLETED:
10:10 AM
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On 1/25/23 LPA Annette Sutherland arrived at facility for the purpose of delivering an amended report. Civil penalty was assigned to the wrong deficiency on 12/5/22.

LPA provided notice of site visit, Appeal rights. No deficiencies were cited.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2023
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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