Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700322
Report Date: 05/03/2018
Date Signed 05/03/2018 02:51:28 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:DISCOVERY ISLE CHILD DEVELOPMENT CENTER-INFANTFACILITY NUMBER:
376700322
ADMINISTRATOR:VANESSA MILROYFACILITY TYPE:
830
ADDRESS:6130 PASEO DEL NORTETELEPHONE:
(760) 431-7090
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:42CENSUS: 22DATE:
05/03/2018
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Director Vanessa MilroyTIME COMPLETED:
02:55 PM
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Licensing Program Analyst, Joelle Redding, made an unannounced visit to deliver an amended LIC 9099D that includes theType B deficiency for a substantiated complaint allegation (See LIC 9099 dated 5/2/18). LPA mistakenly omitted issuing the Type B deficiency during the visit of 5/2/18.
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2018
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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