Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700083
Report Date: 10/13/2016
Date Signed: 10/13/2016 05:00:48 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:KATHY WALKERFACILITY TYPE:
840
ADDRESS:6900 AMBROSIA LANETELEPHONE:
(760) 331-6028
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:110CENSUS: 16DATE:
10/13/2016
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:50 PM
MET WITH:Site Supervisor Kathy WalkerTIME COMPLETED:
05:10 PM
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Licensing Program Analyst, Joelle Redding, made an unannounced visit to evaluate Room 917 for a requested increase in capacity. District permission has been obtained. Fire clearance was received on October 7, 2016.

LPA inspected the classroom. No hazards were noted. There will be sufficient staff in place at all times. Increase in capacity from 110 children to 140 children is granted upon final file review. An updated license will be sent for posting.
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2016
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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