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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701449
Report Date: 01/25/2022
Date Signed: 01/25/2022 12:56:58 PM

Document Has Been Signed on 01/25/2022 12:56 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:KINDER MISSION DAY CARE CENTERFACILITY NUMBER:
376701449
ADMINISTRATOR:JULIA DUKEFACILITY TYPE:
850
ADDRESS:3003 A STREETTELEPHONE:
(619) 915-6999
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 62DATE:
01/25/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:31 PM
MET WITH:Julia Duke TIME COMPLETED:
01:10 PM
NARRATIVE
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On 1/25/22 at 12:31 p.m. LPA (Licensing Program Analyst), Casey Gulley conducted an unannounced case management inspection to deliver amended report dated 8/17/21. There were 12 (twelve) staff and (62) sixty-two children were present at the time of the inspection.

No deficiencies cited. Director was provided Appeal Rights (LIC9058 01/16) and their signature on this form acknowledges receipt of these rights. LPA provided Notice of Site Visit (LIC213) and observed that was posted during the inspection. An exit interview was conducted with Director Julia Duke.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Casey Gulley
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2022
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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