Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701070
Report Date: 07/28/2015 12:00:00 AM
Date Signed 07/28/2015 10:09:03 AM

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:NATIVITY PRESCHOOL, THEFACILITY NUMBER:
376701070
ADMINISTRATOR:CHRISTINE GRUENFACILITY TYPE:
850
ADDRESS:6309 EL APAJO ROADTELEPHONE:
(858) 756-6763
CITY:RANCHO SANTA FESTATE: CAZIP CODE:
92067
CAPACITY:18CENSUS: 0DATE:
07/28/2015
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Margaret HeveronTIME COMPLETED:
10:25 AM
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LPA Celina Damian conducted an unannounced case management visit on this date for the purpose of increasing capacity. LPA met with Principal, Margaret Heveron. School is currently not in session and there are no children present. Licensee is requesting a capacity increase to 23 children. The preschool classroom was toured and inspected. All furnishings and equipment is in good condition and age appropriate. Cubbies are readily available and floors are clean and safe. The classroom measures 823 square feet which is sufficient for 23 children. There is one bathroom with two toilets and one sink and an additional sink is available in the classroom. This accommodates the requested capacity. There are no changes to outside play area which also accommodates requested capacity. The play structure is securely fixed to the ground and in good condition. Cushioning material is sufficient to absorb the fall of a child and shade is available.

Principal reminded that all hazardous items must be made inaccessible to children in classroom and storage room must remain off limits. Additionally, upon receipt, new license must be posted in classroom. All current documents have been received and reviewed by Department.

No deficiencies cited today. The fire clearance for 23 children was granted and received on 06/21/2015. An increase in capacity for 23 children will be approved effective today.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2239
LICENSING EVALUATOR NAME: Celina DamianTELEPHONE: 619-767-2200
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2015
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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