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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006128
Report Date: 11/05/2024
Date Signed: 11/05/2024 12:17:50 PM

Document Has Been Signed on 11/05/2024 12:17 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILD DEVELOPMENT CENTER AT MIRA COSTA COLLEGEFACILITY NUMBER:
372006128
ADMINISTRATOR/
DIRECTOR:		YI-CHENG HUFACILITY TYPE:
850
ADDRESS:1 BARNARD DRIVETELEPHONE:
(760) 795-6656
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY: 126TOTAL ENROLLED CHILDREN: 90CENSUS: 20DATE:
11/05/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Yi-Cheng HuTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Keely Messerschmidt arrived at the facility on a case management inspection to follow-up on an Unusual Incident Report (UIR) which occurred on September 17, 2024 per Director. LPA met with Director Yi-Cheng Hu, and provided purpose of inspection. At the time of inspection, LPA toured the facility, took census.

Nothing further is needed at this time. An exit interview was conducted and a copy of this report was provided.

Notice of site visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE: DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2024
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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