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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701452
Report Date: 09/26/2024
Date Signed: 10/02/2024 09:57:35 AM

Document Has Been Signed on 10/02/2024 09:57 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:KIDS ON THE GOFACILITY NUMBER:
376701452
ADMINISTRATOR/
DIRECTOR:		KRISTIN MAHAFFEYFACILITY TYPE:
840
ADDRESS:2015 BIRCH ROAD, SUITE 201TELEPHONE:
(619) 407-7756
CITY:CHULA VISTASTATE: CAZIP CODE:
91915
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 28DATE:
09/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:45 AM
MET WITH:Kristin MahaffeyTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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This is an amended version of the original report created 09/26/2024.

On September 26, 2024, at 7:45 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a case management inspection regarding a self-reported incident of a possible lack of supervision that occurred on or about 09/03/2024. LPA advised Director Kristin Mahaffey of the inspection’s purpose and was granted facility entry.

During this inspection, LPA interviewed the director, teachers, and Children 1 - 5. (See LIC 811 Confidential Names) LPA also conducted a tour of the reported incident site and reviewed facility records. No deficiencies issued during today's visit

A notice of site visit was given to facility representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Licensee/Appeal Rights (LIC 9058) was provided to Director Mahaffey. Exit interview conducted and report was reviewed with the facility representative Director Kristin Mahaffey.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE: DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2024
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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