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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701452
Report Date: 10/02/2024
Date Signed: 10/02/2024 09:57:09 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: 7DATE:
10/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:38 AM
MET WITH:Kristen MahaffeyTIME VISIT/
INSPECTION COMPLETED:
08:15 AM
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On October 2, 2024, at 7:38 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a case management visit to amend the report dated September 26, 2024.

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 facility representative Director Kristen 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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