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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701251
Report Date: 09/21/2022
Date Signed: 09/22/2022 08:37:15 AM

Document Has Been Signed on 09/22/2022 08:37 AM - 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:ASPEN LEAF NURSERYFACILITY NUMBER:
376701251
ADMINISTRATOR:NANETTE ARNOLDFACILITY TYPE:
830
ADDRESS:3111 30TH STREETTELEPHONE:
(619) 285-0767
CITY:SAN DIEGOSTATE: CAZIP CODE:
92104
CAPACITY: 6TOTAL ENROLLED CHILDREN: 9CENSUS: 5DATE:
09/21/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Nanette Arnold TIME COMPLETED:
02:00 PM
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On 9/21/22 at 12:35pm, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced case management inspection in order to deliver an amended report originally created on 1/19/22. Upon arrival, LPA met with Director, Nanette Arnold and proceeded to tour the facility. There were five (5) children and two (2) staff members present.

No deficiencies issued during today's visit.

Exit interview was conducted with Director, Nanette Arnold. Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2022
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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