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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701524
Report Date: 01/28/2025
Date Signed: 01/28/2025 01:04:24 PM

Document Has Been Signed on 01/28/2025 01:04 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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:FLEUR DE LIS NURSERY SCHOOLFACILITY NUMBER:
376701524
ADMINISTRATOR/
DIRECTOR:		TINA SMITHFACILITY TYPE:
850
ADDRESS:3743 FRONT STREETTELEPHONE:
(619) 295-6781
CITY:SAN DIEGOSTATE: CAZIP CODE:
92103
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 83DATE:
01/28/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Tina Smith TIME VISIT/
INSPECTION COMPLETED:
01:25 PM
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On January 28, 2025, at 11:15 a.m., Licensing Program Analysts (LPAs) Victoria Hernandez and Cindy Meier conducted an unannounced case management follow up investigation regarding a self reported incident. LPA met with Director, Tina Smith and discussed the purpose of the inspection and was led on a tour of the facility. There were 83 children present and 18 staff members.

On December 3, 2024, the Director self reported an incident regarding inappropriate interaction involving Child 1 (C1) and Staff (S2). Per interview with the Director, the date alleged incident occurred is unknown.

During the investigation of the incident, LPA conducted interviews with the director (S1), staff S2, S3, S4 and day care children C1, C2, and C3. LPA reviewed and obtained pertinent documentation.

No deficiencies cited during today’s inspection.

Exit interview was conducted with Director, Tina Smith and a copy of this report, Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit is required to be posted for 30 days.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Victoria Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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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