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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806455
Report Date: 09/05/2023
Date Signed: 09/05/2023 02:39:33 PM

Document Has Been Signed on 09/05/2023 02:39 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:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
370806455
ADMINISTRATOR:DEANNE ROMEROFACILITY TYPE:
830
ADDRESS:5565 LAKE PARK WAYTELEPHONE:
(619) 460-0310
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY: 24TOTAL ENROLLED CHILDREN: 16CENSUS: 13DATE:
09/05/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Deanne RomeroTIME COMPLETED:
02:50 PM
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On 9/5/2023, at 2:15pm., Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection to amend a facility evaluation report to reflect the correct section number for Title 22 Regulations, report originally created on 8/30/2023. LPA met with Director, Deanne Romero and discussed the purpose of the inspection. The following ratios were observed: Infant Classroom 1 had five (5) infants with two (2) staff and the Toddler Classroom had eight (8) infants with (2) staff.

No deficiencies cited.

An exit interview was conducted with Director, Deanne Romero, a copy of this report was provided. Notice of Site Visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Director post Notice of Site Visit on the bulletin board at the entrance.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2023
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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