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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700944
Report Date: 03/06/2024
Date Signed: 03/06/2024 12:55:20 PM

Document Has Been Signed on 03/06/2024 12:55 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:URBAN VILLAGE 1 EARLY LEARNING ACADEMYFACILITY NUMBER:
376700944
ADMINISTRATOR:MARIANA CASTROFACILITY TYPE:
850
ADDRESS:3795B FAIRMOUNT AVENUETELEPHONE:
(619) 283-2780
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 56DATE:
03/06/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Site Supervisor Mariana CastroTIME COMPLETED:
01:00 PM
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On 03/06/24 at 10:15AM, Licensing Program Analyst (LPA) Luigi Gargaro conducted an unannounced case management visit to the facility today. The visit was conducted after the facility self-reported an incident that occurred at the preschool in which staff member #1 was alleged to have hit child #1 on their chest. During today's visit, analyst conducted interviews with site supervisor Mariana Castro, assistant site supervisor ThuHa Nguyen, classroom staff and children in care. No violations were issued during today's visit.

An exit interview was conducted and the report was reviewed with site supervisor Mariana Castro. A copy of this report, along with Appeal Rights (LIC9058 01/16), were provided. A notice of site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the visit. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2024
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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