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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 130805126
Report Date: 01/24/2024
Date Signed: 01/24/2024 12:30:48 PM

Document Has Been Signed on 01/24/2024 12:30 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ICOE-ECEP LITTLE VIKINGS II STATE PRESCHOOLFACILITY NUMBER:
130805126
ADMINISTRATOR:SARA PALACIOSFACILITY TYPE:
850
ADDRESS:627A EAST SIXTH STREETTELEPHONE:
(760) 356-2030
CITY:HOLTVILLESTATE: CAZIP CODE:
92250
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
01/24/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Sara PalaciosTIME COMPLETED:
01:15 PM
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On 1/24/2024 at 12:15 PM Licensing Program Analysts (LPAs), Thien Dinh and Diana Sanchez conducted an unannounced case management visit in response to the new playground structure installed at the facility. LPA met with Director,Sara Palacios and informed her of the purpose of the visit. There were 0 children and 1 staff present at the time of this visit.

LPA conducted an inspection of the newly installed playground structure. The structure is labeled for ages 2-5 years old. The outdoor space is free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. The areas around and under high climbing equipment, swings, slides and other similar equipment is cushioned with material that absorbs falls. The playground is enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence is at least four feet high. Facility new playground structure approval is granted for children to use effective as of today.

No deficiencies cited.

Exit interview conducted and report was reviewed with the director, Sara Palacios. Appeal Rights were provided.



A notice of site visit was given to the director, Sara Palacios and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Thien Vu Dinh
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2024
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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