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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701262
Report Date: 10/07/2021
Date Signed: 10/07/2021 06:49:27 AM

Document Has Been Signed on 10/07/2021 06:49 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S PARADISE, INC. - PRESCHOOLFACILITY NUMBER:
376701262
ADMINISTRATOR:LINA BORJAFACILITY TYPE:
850
ADDRESS:2017A MISSION AVENUETELEPHONE:
(760) 433-3800
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY: 152TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
10/07/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
06:30 AM
MET WITH:Lina BorjaTIME COMPLETED:
07:00 AM
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On this date, Licensing Program Analyst (LPA) James Wilkerson conducted a case management inspection. LPA Wilkerson toured the facility and the following was observed:

Appropriate use of face coverings by staff was observed. All children were appropriately wearing face coverings.” if none of the children were without masks)

No deficiencies were cited on this date. An exit interview was conducted, a Notice of Site Visit (LIC 9213) was posted, appeal rights were discussed and provided, and a copy of this report was given to the facility representative below.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE: DATE: 10/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/07/2021
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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