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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701437
Report Date: 08/24/2022
Date Signed: 08/24/2022 02:55:07 PM

Document Has Been Signed on 08/24/2022 02:55 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:CHILDREN'S CHOICE LEARNING CONNECTIONFACILITY NUMBER:
376701437
ADMINISTRATOR:VICTORIA DEDEAUXFACILITY TYPE:
850
ADDRESS:350 PRESCOTT AVENUETELEPHONE:
(619) 499-7524
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 61TOTAL ENROLLED CHILDREN: 58CENSUS: 36DATE:
08/24/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Victoria DedeauxTIME COMPLETED:
03:10 PM
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Licensing Program Analysts (LPAs) Saraliz Velando and Jennifer Lott conducted a Case Management visit regarding an incident report that was received in our office. LPAs were greeted at the front door by Victoria Dedeaux and granted entry after identifying themselves and disclosing the reason of their visit.

The visit was initiated due to a self reported incident on 7/22/22. Director, Victoria Dedeaux, submitted form LIC624 Unusual Incident Report to Community Care Licensing which was received in our office on 8/23/22. Interview revealed that the report was sent on 7/22/22 to SDIncidentReports@dss.ca.gov.

During today's visit LPAs conducted a brief tour of the facility and conducted interviews. Based on today's visit, no deficiencies were observed at this time.

An exit interview was conducted and report was reviewed with director, Victoria Dedeaux. A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2022
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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