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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700943
Report Date: 03/28/2023
Date Signed: 03/28/2023 03:10:16 PM

Document Has Been Signed on 03/28/2023 03:10 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:CAPSLO RAMONA HEAD STARTFACILITY NUMBER:
376700943
ADMINISTRATOR:MARIA SOLEDAD SOLISFACILITY TYPE:
850
ADDRESS:415 EIGHTH STREETTELEPHONE:
(760) 789-2087
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY: 98TOTAL ENROLLED CHILDREN: 57CENSUS: 41DATE:
03/28/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Maria Soledad SolisTIME COMPLETED:
03:30 PM
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On 3/28/23 at 11:30am Licensing Program Analyst (LPA) Patrick Ma conducted an unannounced Case Management visit due to an incident reported to the department on 3/24/23. Upon arrival, LPA met with Director, Maria Soledad Solis. There were 41 children present with 11 teachers in 4 rooms. Facility is within ratio and capacity.

LPA conducted interviews with child (C1) and staff (S1-S2), made a confidential names list, and made copies of class roster due to possible personal rights violation of a child. LPA was unable to interview S3 and other parties involved with regards to the incident and left a voice mail during the inspection.

No deficiency cited at this time.

Exit interview conducted and report was reviewed with the Director Maria Soledad Solis. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2023
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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