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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136608035
Report Date: 05/25/2021
Date Signed: 05/25/2021 01:45:23 PM

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:UNITED FAMILIES, INC. - CALEXICO PRESCHOOLFACILITY NUMBER:
136608035
ADMINISTRATOR:RUBY JACOBOFACILITY TYPE:
850
ADDRESS:937 HEBER AVENUETELEPHONE:
(760) 768-3835
CITY:CALEXICOSTATE: CAZIP CODE:
92231
CAPACITY:28CENSUS: 10DATE:
05/25/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Ruby JacoboTIME COMPLETED:
01:45 PM
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On 5/25/21 at 1:35 PM, Licensing Program Analyst (LPA) Gloria Gonzalez conducted an unannounced Case Management Tele inspection to follow-up on a self-reported incident of a possible personal rights violation that may have occurred on or about 4/20/21. The inspection was conducted virtually via Facetime, due to the COVID-19 state of emergency. LPA disclosed the purpose of the inspection and was granted a video tour into the facility by Director, Ruby Jacobo. Director states there were no children and 2 staff members at the time of the inspection.
 
Interviews were conducted with the Center Director, 3 staff members, 8 daycare children, and 8 daycare parents. Based on the information obtained, it was determined that there were no violations occurred. No Deficiencies cited.
 
A copy of the report, appeal rights (LIC 9058), and LIC9213 will be e-mailed to the Director and Director was advised that acknowledgement of the receipts of the report and appeal rights are to be received within twenty-four hours.

An exit interview was conducted.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2021
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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