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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600490
Report Date: 01/27/2023
Date Signed: 01/27/2023 04:29:47 PM


Document Has Been Signed on 01/27/2023 04:29 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:EASTLAKE COMMUNITY CHURCH PRESCHOOLFACILITY NUMBER:
376600490
ADMINISTRATOR:SHERRIANN KELLYFACILITY TYPE:
850
ADDRESS:2351 OTAY LAKES ROADTELEPHONE:
(619) 421-4156
CITY:CHULA VISTASTATE: CAZIP CODE:
91915
CAPACITY:174CENSUS: 68DATE:
01/27/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:33 PM
MET WITH:Sherriann KellyTIME COMPLETED:
04:30 PM
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On 01/27/23 at 02:35 p.m., Licensing Program Analyst (LPA), Edgar Campana arrived at the facility to conduct a licensee initiated case management visit for the addition of room 12 to daycare license. Upon arrival LPA met with director, Sherriann Kelly, and proceeded to tour the facility. There were 68 children and 12 staff present. Facility is within ratio/capacity limitations. Facility days and hours of operation are: Monday through Friday from 6:30 a.m. to 5:30 p.m.

This daycare program currently operates in the following classrooms. 1-11 & 13. The number of toilets and sinks is sufficient to accommodate the requested capacity of 174 children. LPA observed required postings posted.

The proposed room addition (room 12) was inspected and measures a total 530 square feet.

Approval of room 12 is pending results of fire inspection.

No deficiencies issued during today’s visit. An exit interview was conducted with director, Sherriann Kelly. LPA discussed and provided the following to director: LIC809 Notice of Site Visit and Appeal Rights.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 01/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/27/2023
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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