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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370800634
Report Date: 04/12/2024
Date Signed: 04/12/2024 11:02:50 AM

Document Has Been Signed on 04/12/2024 11:02 AM - 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:LA MESA UNITED METHODIST CHILDREN'S CENTERFACILITY NUMBER:
370800634
ADMINISTRATOR/
DIRECTOR:		AMY FAGANFACILITY TYPE:
850
ADDRESS:4690 PALM AVENUETELEPHONE:
(619) 466-8407
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY: 87TOTAL ENROLLED CHILDREN: 82CENSUS: 62DATE:
04/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Nancy BetancourtTIME VISIT/
INSPECTION COMPLETED:
09:20 AM
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On 4/12/2024 at 8:50am, Licensing Program Analyst (LPA), Vicky Williamson conducted an unannounced inspection to deliver an amended report originally created on 4/8/2024. LPA met with teacher, Sarah Fredsti and was led on a tour of the facility. There were 62 children present with ten (10) staff members.

An amended complaint report was delivered to reflect corrections to the number of staff interviewed and report changed from confidential to public which was not noted on the original report dated 4/8/2024. In addition, LPA added to the amended report the number of daycare children, daycare parents and witnesses interviewed.

No deficiencies cited. Exit interview was conducted with Assistant Director, Nancy Betancourt and a copy of this report, Appeal Rights and Notice of Site Visit were given. 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: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2024
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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