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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600880
Report Date: 12/07/2022
Date Signed: 12/07/2022 04:12:32 PM

Document Has Been Signed on 12/07/2022 04:12 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:LEARNING ACADEMY, THEFACILITY NUMBER:
376600880
ADMINISTRATOR:SANDRA GEORGEFACILITY TYPE:
850
ADDRESS:11646 RIVERSIDE DRIVETELEPHONE:
(619) 938-0933
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY: 40TOTAL ENROLLED CHILDREN: 35CENSUS: 26DATE:
12/07/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Licensee, Sandra George TIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Jennifer Lott conducted a Plan of Correction visit regarding deficiencies that were cited on 11/16/2022. LPA was greeted at the front door by Licensee, Sandra George and was granted entry after identifying herself and disclosing the reason for the visit.

During today’s visit, LPA toured the facility to verify that corrections to the physical plant had been made. Uneven bricks had been removed and 2:2 trash cans now had lids. .

Since 101238.2(d)(1), 101239(f)(1), 1596.8662(b)(1) have been corrected, these deficiencies were cleared.

An extension was granted through 12/29/2022 for 1596.7995(a)(1), 101217(a). .

Exit interview was conducted and report was reviewed with the Licensee, George. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2022
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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