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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136608041
Report Date: 01/18/2024
Date Signed: 01/18/2024 12:52:55 PM

Document Has Been Signed on 01/18/2024 12:52 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ICOE-CDS LITTLE TIGER'S STATE PRESCHOOLFACILITY NUMBER:
136608041
ADMINISTRATOR:UTE ELIZABETH CERVANTESFACILITY TYPE:
850
ADDRESS:303 SOUTH D STREETTELEPHONE:
(760) 355-8640
CITY:IMPERIALSTATE: CAZIP CODE:
92251
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 17DATE:
01/18/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Roxana Noris, Lead Teacher TIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) D. Sanchez made an unannounced Case Management inspection in response to the new playground structure installed at the facility. LPA was greeted and allowed entry into the facility by teacher Lucia Lara, who was advised of the purpose of today’s inspection. There were 17 children and four staff present during inspection.

LPA conducted an inspection on the new installed playground structure. The structure is labeled for ages 2-5 years old. It is firmly secured to the ground and has sufficient cushion to absorb a child’s fall. Playground structure is in good condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Facility new playground structure approval is granted for children use effective today.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited. An exit interview was conducted with Roxana Noris. Roxana was provided a copy of their appeal rights (LIC 9058).

LPA observed provider placing the Notice of Cite Visit on the wall visible to parents during today’s inspection.

NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Diana Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/18/2024
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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