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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701094
Report Date: 04/14/2021
Date Signed: 04/15/2021 01:24:10 PM

Document Has Been Signed on 04/15/2021 01:24 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:ST. CHARLES CATHOLIC PRESCHOOLFACILITY NUMBER:
376701094
ADMINISTRATOR:ORALIA PUGAFACILITY TYPE:
850
ADDRESS:980 SATURN BOULEVARDTELEPHONE:
(619) 423-0784
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY: 48TOTAL ENROLLED CHILDREN: 0CENSUS: 25DATE:
04/14/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Oralia PugaTIME COMPLETED:
10:45 AM
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On 04/14/21 at 10:00am, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced case management tele-inspection Due to COVID-19 state of emergency, this inspection was conducted via teleconference. There were 25 children present.

Facility Director Oralia Puga requested that a previously off limits area be inspected for daycare use. LPA Castellon toured the area via facetime. An ex mulch yard has been cleared and properly fully fenced. The area has grass. There are no harmful debris hazardous objects in the area.

LPA Castellon has requested that director Puga submit an updated LIC9099 Facility Sketch to the SDCCRO. The area may be used for daycare purposes.

No citations issued.
SUPERVISORS NAME: Joe Carrasco
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 04/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/14/2021
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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