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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700685
Report Date: 12/27/2021
Date Signed: 12/27/2021 10:15:38 AM

Document Has Been Signed on 12/27/2021 10:15 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:SACRED HEART ACADEMY PRESCHOOLFACILITY NUMBER:
376700685
ADMINISTRATOR:WYDRA, SUZIEFACILITY TYPE:
850
ADDRESS:4895 SARATOGA AVENUETELEPHONE:
(619) 222-7252
CITY:SAN DIEGOSTATE: CAZIP CODE:
92107
CAPACITY: 137TOTAL ENROLLED CHILDREN: 63CENSUS: 0DATE:
12/27/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Suzie WydraTIME COMPLETED:
10:30 AM
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On 12/27/21 at 9:50am, Licensing Program analyst (LPA), Martha Malane conducted an unannounced Case Management inspection to follow up on a self-reported incident. Upon arrival, LPA met with Assistant Director, Rebecca Godina and Director Suzie Wydra and disclosed the purpose of the inspection. There were no children in care as the facility is closed for Christmas break.

The facility reported an incident which occurred on 11/12/2021 stating a small fire started in a light fixture in Room 3. San Diego Fire Authority conducted an inspection 12/21/21 and approved Room 3 for use by children. LPA inspected the room during today’s inspection and found the room to be clean and complete with equipment for children. The light fixture where the fire started was removed and new ceiling tiles were installed. The other lights in Room 3 were in working order at the time of this inspection. Assistant Director, Rebecca Godina stated the facility plans on replacing light fixtures throughout the preschool.

No deficiencies issued during today's inspection.

LPA conducted an exit interview with Assistant Director, Rebecca Godina and Director, Suzie Wydra. LPA discussed and provided the following: LIC809, LIC9213-Notice of Site Visit, and Appeal Rights. The Notice of Site Visit shall be posted for 30 days from today's date.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 12/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/27/2021
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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