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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701480
Report Date: 05/28/2024
Date Signed: 05/28/2024 10:38:46 AM

Document Has Been Signed on 05/28/2024 10:38 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LEMON GROVE CHILDCARE CENTERFACILITY NUMBER:
376701480
ADMINISTRATOR/
DIRECTOR:		BLANCA BROWNFACILITY TYPE:
850
ADDRESS:3468 CITRUS STREET, STES A & BTELEPHONE:
(619) 818-0149
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 10DATE:
05/28/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:25 AM
MET WITH:Teacher Monica BrownTIME VISIT/
INSPECTION COMPLETED:
10:50 AM
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On 05/28/2024 at 10:25am, Licensing Program Analysts (LPAs) Michelle Hood and Shannan Williams completed an unannounced case management inspection for the purpose of delivering an amended report from an original report dated, 05/07/2024. LPAs met with Teacher Monica Brown. There were ten children present with two teachers.

An exit interview was conducted, and the report was reviewed with Monica Brown. Monica Brown was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. 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: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE: DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2024
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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