Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017998
Report Date: 11/13/2015
Date Signed 11/13/2015 09:42:47 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:VALLEY CENTER PRESCHOOLFACILITY NUMBER:
198017998
ADMINISTRATOR:ANDERSON, B. SCOTTFACILITY TYPE:
850
ADDRESS:5119 N. VALLEY CENTER AVENUETELEPHONE:
(909) 592-7500
CITY:COVINASTATE: CAZIP CODE:
91724
CAPACITY:60CENSUS: 3DATE:
11/13/2015
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Director Liane D'ArezzoTIME COMPLETED:
08:30 AM
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A Collateral visit was conducted on this date by Licensing Program Analyst (LPA) B. Emiko Bell in order to obtain the signature of Director Liane D'Arezzo for the 11/05/15 report for the Collateral visit.

There were no deficiencies cited during today's visit, as interview was conducted in the Director's office.

Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100 civil penalty.

An exit interview was conducted with, and a copy of this report was signed by Director Liane D'Arezzo. A copy of this final report and the Notice of Site Visit will be mailed to the Center, as LPA does not currently have a printer.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) -98-3395
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2015
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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