Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700083
Report Date: 09/01/2015 12:00:00 AM
Date Signed: 09/01/2015 02:23:22 PM

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:CARLSBAD EDUCATIONAL FOUNDATION-AVIARA OAKS ELEM.FACILITY NUMBER:
376700083
ADMINISTRATOR:SCHWARTZ, ASHLEYFACILITY TYPE:
840
ADDRESS:6900 AMBROSIA LANETELEPHONE:
(760) 331-6028
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:90CENSUS: 0DATE:
09/01/2015
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Jose DeAndaTIME COMPLETED:
02:25 PM
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Licensing Program Analyst, Joelle Redding, made an case management visit to inspect Room 1901 as additional child care space. An increase in capacity was request on 8/20/15 for an additional 30 children. Fire clearance was granted on 8/25/15 and received by Licensing on 9/1/15. LPA inspected the room. No hazards were noted. All required forms were posted. School begins on 8/2/15. There are sufficient toilets and sinks for the requested capacity and supervision will be provided at all times. No corrections are required.

Upon final file review, the increase in capacity from 90 to 110 children and the addition of room 1901 will be granted.
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2015
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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