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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841005
Report Date: 02/23/2022
Date Signed: 02/23/2022 03:06:35 PM


Document Has Been Signed on 02/23/2022 03:06 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:DSUSD/JOHNSON ECE CENTERFACILITY NUMBER:
334841005
ADMINISTRATOR:LOUKATOS, DEBRAFACILITY TYPE:
850
ADDRESS:44-640 CLINTON STREETTELEPHONE:
(760) 771-8675
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY:24CENSUS: 2DATE:
02/23/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Teacher Mayra Velez GutierrezTIME COMPLETED:
03:12 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Jeanette Sanchez and Ana Noble conducted an unannounced case management inspection to address the multiple COVID-19 Unusual Incident Reports (UIRs) received for positive cases between 1/4-1/12/22. LPAs met with Teacher Teacher Mayra Velez Gutierrez.

LPAs toured the facility and took census. LPAs spoke with Teacher Mayra Velez Gutierrez to ensure that COVID-19 protocols are being followed and to obtain an update of precautions being taken to prevent future outbreaks. Per Ms. Velez Gutierrez, parents are asked health screening questions and reminded to inform school of possible exposures. If parents believe they have been exposed, they are provided a rapid test. In the classroom, children are constantly washing hands and wearing masks. They only remove mas ks while they are eating and drinking water. Children are reminded how to properly wear a mask. Teachers also always wear masks. Children are offered a new disposable mask if their mask is dirty or wet.

An exit interview was conducted. The appeal rights were discussed and provided along with a copy of this report to Teacher Mayra Velez Gutierrez on this date.
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Jeanette SanchezTELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:
DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/23/2022
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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