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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600880
Report Date: 01/26/2023
Date Signed: 01/29/2023 05:02:43 PM

Document Has Been Signed on 01/29/2023 05:02 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: 39CENSUS: 37DATE:
01/26/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Licensee, Sandra George TIME COMPLETED:
02:05 PM
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Licensing Program Analyst (LPA) Jennifer Lott conducted a Case Management visit to deliver an amended report. LPA was greeted at the front door by Director, Sandra George and granted entry after identifying herself and disclosing the purpose of her visit. The purpose of LPA's visit was to deliver an amended report for a visit conducted on 11/28/2022.

During today's visit, LPA obtained, Director, Sandra George's signature on the amended report LIC 9099 dated 11/28/2022.

An exit interview was conducted and a copy of this report was provided. A notice of site visit was given and must remain posted for 30 days.

This is an amended version of the original report created on 11/28/2022.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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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