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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370800213
Report Date: 03/01/2024
Date Signed: 03/01/2024 03:44:07 PM

Document Has Been Signed on 03/01/2024 03:44 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:FOOTHILLS FAITH ACADEMYFACILITY NUMBER:
370800213
ADMINISTRATOR:DELIA SALCIDOFACILITY TYPE:
850
ADDRESS:4031 AVOCADO BOULEVARDTELEPHONE:
(619) 670-4024
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY: 95TOTAL ENROLLED CHILDREN: 86CENSUS: 32DATE:
03/01/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Delia SalcidoTIME COMPLETED:
04:00 PM
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On March 1, 2024, at 1:30pm., Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection to follow up on a self reported incident. LPA met with Director, Delia Salcido. LPA discussed the purpose of the inspection and was led on a tour of the facility. There were 32 napping children present with six (6) staff members.

On February 23, 2024, the director self- reported an incident regarding lack of supervision involving Child #1 (C1). Per Director, the alleged incident occurred on February 22, 2024 at about approximately 3:11pm.

During today’s inspection, LPA conducted interviews with director and staff members. LPA review staff files and reviewed and obtained pertinent documentation.

No deficiencies cited during today’s inspection. Exit interview was conducted with Director, Delia Salcido a copy of this report, Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 03/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/01/2024
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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