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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701538
Report Date: 10/27/2022
Date Signed: 10/31/2022 09:39:14 AM

Document Has Been Signed on 10/31/2022 09:39 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:TESORO PRESCHOOLFACILITY NUMBER:
376701538
ADMINISTRATOR:ANDREA VALDEZFACILITY TYPE:
850
ADDRESS:3030 THORN STREETTELEPHONE:
(619) 569-8955
CITY:SAN DIEGOSTATE: CAZIP CODE:
92104
CAPACITY: 48TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
10/27/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Andrea ValdezTIME COMPLETED:
12:45 PM
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On 10/27/2022 at 11:30am, Licensing Program Analyst (LPA), Martha Malane met with applicant, Andrea Valdez. Also present was applicant’s husband, Eriberto Valdez at the SDRO office for a Component II Meeting. The purpose of today's meeting was to review pending documents listed on the LIC184C - Notice of Incomplete Application checklist.

LPA reviewed and discussed the pending documents in detail with applicant, Andrea Valdez. Applicant stated she will submit required documents to CCL.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 10/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2022
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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