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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006509
Report Date: 06/27/2024
Date Signed: 06/27/2024 04:04:05 PM

Document Has Been Signed on 06/27/2024 04:04 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:BETHLEHEM COMMUNITY EARLY CHILDHOOD CENTERFACILITY NUMBER:
372006509
ADMINISTRATOR/
DIRECTOR:
D. CARR/K. PEREZFACILITY TYPE:
850
ADDRESS:925 BALOUR DRIVETELEPHONE:
(760) 753-4780
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: 110TOTAL ENROLLED CHILDREN: 131CENSUS: 40DATE:
06/27/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Debi Carr and Kelly PerezTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 6/27/24 @12:30PM, Licensing Program Analyst (LPA) Patrick Ma, made an unannounced Case Management inspection regarding a self-reported incident made to the Department on 6/11/24. Upon arrival, LPA met with Co-Director Debi Carr for the full day program and explained purpose for the visit. Co-Director Kelly Perez, for the part-day program, was not present initially because the program had completed their school year on 6/20/24 but returned to facility to meet with LPA. LPA toured the facility, conducted interview with Director, made a confidential names list, and reviewed related documents.

Incident between child C1 and C2 or C3 may have occurred due to a lack of supervision. Present at time of reported incidents were teachers S1 - S4 providing care for 24 children. Due to insufficient information available at this time, further investigation is needed.

No deficiencies were cited.

Exit interview conducted and report was reviewed with Director Kelly Perez. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024
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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