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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136608073
Report Date: 11/10/2022
Date Signed: 11/10/2022 03:01:54 PM

Document Has Been Signed on 11/10/2022 03:01 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:CALEXICO NEIGHBORHOOD HOUSE HAPPY KIDS PREK&DAYCARFACILITY NUMBER:
136608073
ADMINISTRATOR:IGNACIA AVILAFACILITY TYPE:
850
ADDRESS:506 EAST FOURTH STREETTELEPHONE:
(760) 357-6875
CITY:CALEXICOSTATE: CAZIP CODE:
92231
CAPACITY: 105TOTAL ENROLLED CHILDREN: 66CENSUS: 24DATE:
11/10/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Isabel GarciaTIME COMPLETED:
03:15 PM
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On November 10, 22 at 10:30 AM, Licensing Program Analyst (LPA) Gloria Gonzalez conducted an unannounced Case Management inspection to follow-up on a self-reported incident that occurred on or about during the week of 10/17/22-10/21/22 which was first reported to the facility on 11/1/22. LPA disclosed the purpose of the inspection and was granted a tour into the facility by Site Supervisor, Joanna Navarrette. Site Supervisor, Isabel Garcia arrived on or about 11:00 am and continued the visit with LPA. There were 24 children and 11 staff members at the time of the inspection.
 
Facility called the Licensing duty line on 11/3/22. An unusual incident report (UIR) was submitted to the San Diego Regional Office (SDRO) on 11/7/22 alleging a possible personal rights violation. The incident occurred on or about the week of 10/17/22-10/21/22. LPA conducted interviews with the Site Supervisor, staff members, and several daycare children. Based on the information obtained the incident requires further review.

Ms. Garcia was provided a copy of the appeal rights (LIC 9058 12/15).  LPA provided the notice of site visit (LIC 9213) and observed it being posted at the facility.

An exit interview was conducted with Site Supervisor, Isabel Garcia.
Tulam Vu
Gloria Gonzalez
DATE: 11/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/10/2022
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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