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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374845522
Report Date: 06/15/2023
Date Signed: 06/15/2023 03:01:42 PM

Document Has Been Signed on 06/15/2023 03:01 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:EMMANUEL FAITH PRESCHOOLFACILITY NUMBER:
374845522
ADMINISTRATOR:FELICIANO, JESSICAFACILITY TYPE:
850
ADDRESS:639 E. 17TH AVENUETELEPHONE:
(760) 745-2541
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY: 120TOTAL ENROLLED CHILDREN: 85CENSUS: 65DATE:
06/15/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Jessica FelicianoTIME COMPLETED:
03:10 PM
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On June 15, 2023 at 9:46 am Licensing Program Analyst (LPA) Ana Noble arrived at the facility to conducted Case Management - Licensee Initiated due to changes being made to the Preschool classrooms. During this visit LPA also toured and measured the Infant area for the pending application #376300793.

Classrooms being changed is Room 9-D, which will be part of the Infant License and classroom being added to now be used as part of Preschool is Room 9-C. Capacity is not changing just the usage of this new space for preschool children.

There were no deficiencies cited during this visit.

An exit interview was conducted, and this report was reviewed with the director Jessica Feliciano. Appeal rights were discussed and provided during the exit interview.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023
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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