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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700971
Report Date: 04/05/2024
Date Signed: 04/05/2024 02:03:09 PM

Document Has Been Signed on 04/05/2024 02:03 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:COTTONTAIL PRESCHOOLFACILITY NUMBER:
376700971
ADMINISTRATOR/
DIRECTOR:		DENISE MATTHEWSFACILITY TYPE:
850
ADDRESS:471 E STREETTELEPHONE:
(619) 425-3107
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 49TOTAL ENROLLED CHILDREN: 49CENSUS: 23DATE:
04/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Denise MatthewsTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 04/5/2024 at 1:30 pm, Licensing Program Analyst (LPA) Adrian Castellon and Licensing Program Manager (LPM) Cynthia Gray conducted an unannounced complaint inspection. LPA and LPM met with the facility director Denise Matthews and discussed the purpose of the inspection.

During today's inspection, the following was observed:

A newly erected storage shed (4/4/24) was observed in the children's play yard. The shed was not properly secured; the shed door was unlocked. The shed contained paint, sealer, gardening tools, a garden sprayer, and various nails, screws, nuts and bolts. The yard was not being used by the children due to the weather. Director properly secured shed during the inspection.

Director was provided with a copy of their appeal rights (LIC 9058 03/22) and their signature on this form acknowledges receipt of these rights. Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 04/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/05/2024
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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