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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701422
Report Date: 07/01/2022
Date Signed: 07/01/2022 10:51:36 AM

Document Has Been Signed on 07/01/2022 10:51 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:WARREN-WALKER EARLY LEARNING CENTERFACILITY NUMBER:
376701422
ADMINISTRATOR:SUSANNAH TAYLOR-COOKFACILITY TYPE:
850
ADDRESS:2905 CADIZ STREETTELEPHONE:
(619) 771-3663
CITY:SAN DIEGOSTATE: CAZIP CODE:
92110
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 5DATE:
07/01/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Vivian BennettTIME COMPLETED:
11:00 AM
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On 7/1/22 at 10:30 AM Licensing Program analyst (LPA) conducted a Case Mangement for the purpose of providing the Civil Penalty form LIC 421BG for deficiency originally cited on 6/29/22”. LPA met with Assistant Director Tatiana Huertero.

Exit interview conducted and report was reviewed with the facility representative, Tatiana Huertero. The Facility Representative was provided a copy of this report and LIC421BG. A Notice of Site Visit (LIC9213) 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: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2022
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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