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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701131
Report Date: 03/28/2024
Date Signed: 03/28/2024 01:25:31 PM

Document Has Been Signed on 03/28/2024 01:25 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:COPLEY-PRICE FAMILY YMCA PRESCHOOL CHILD CAREFACILITY NUMBER:
376701131
ADMINISTRATOR:CRISTINA JIMENEZFACILITY TYPE:
850
ADDRESS:4300 EL CAJON BOULEVARDTELEPHONE:
(619) 280-9622
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 71TOTAL ENROLLED CHILDREN: 71CENSUS: 33DATE:
03/28/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Director Cristina JimenezTIME COMPLETED:
10:45 AM
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On March 28th, 2024, at 9:45 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a case management inspection to amend the report dated 02/15/2024. LPA met with Director Jimenez and disclosed the purpose of the inspection.

LPA inspected a sample of children’s files. The Acknowledgment of Receipt of Licensing Report LIC 9224 form signed by the parents were contained in the sampled children’s files.



No deficiencies cited. A notice of site visit was given to the facility representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with the Director Cristina Jimenez.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2024
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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