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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701477
Report Date: 09/21/2022
Date Signed: 09/21/2022 12:19:29 PM

Document Has Been Signed on 09/21/2022 12:19 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:ASPEN LEAF PRESCHOOL-BARRY TED MOSKOWITZ CCCFACILITY NUMBER:
376701477
ADMINISTRATOR:CHRISTINA MARTINEZFACILITY TYPE:
850
ADDRESS:880 FRONT STREET, SUITE 1295TELEPHONE:
(619) 557-3431
CITY:SAN DIEGOSTATE: CAZIP CODE:
92101
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: 43DATE:
09/21/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Christina MartinezTIME COMPLETED:
12:30 PM
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On 9/21/22 at 11:45am, Licensing Program Analyst (LPA), Edgar Campana conducted an unannounced case management inspection in order to deliver an amended report originally created on 1/19/22. Upon arrival, LPA met with Christina Martinez and proceeded to tour the facility. There were 43 children and 12 staff members present.

No deficiencies issued during today's visit.

Exit interview conducted and report was reviewed with Christina Martinez. A copy of this report, along with Appeal Rights (LIC9058 01/16), were provided. A Notice of Site visit 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: Jason Garay
LICENSING EVALUATOR NAME: Edgar Campana
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2022
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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