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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370805845
Report Date: 12/01/2020
Date Signed: 01/18/2023 02:21:47 PM


Document Has Been Signed on 01/18/2023 02:21 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:FIRST LUTHERAN PRESCHOOL OF EL CAJONFACILITY NUMBER:
370805845
ADMINISTRATOR:VAN DEWEGHE, RAMONAFACILITY TYPE:
850
ADDRESS:867 SOUTH LINCOLN AVENUETELEPHONE:
(619) 444-0559
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:72CENSUS: DATE:
12/01/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Ramona Van DewegheTIME COMPLETED:
02:15 PM
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On 12/01/20 at 1:45 PM, Licensing Analyst (LPA) Annette Sutherland conducted an unannounced Case Management Inspection due to a reported positive case of Covid -19 of one of the facility's staff members. Due to Covid-19, this inspection was conducted telephonically. LPA Sutherland spoke with Director Ramona Van Deweghe. The facility is currently open, Room 103 is currently closed at this time due to this positive Covid case and plans to re-open on 12/07/20 . Director has spoken with the Department of Health and has been told they can open the facility at his time.

Director states that the staff member was on campus on 11/19/20 went home due to not feeling well she went to go get tested and Covid positive results were given on 11/22/20.

Director was advised by Health Department to quarantine Room 103. LPA Sutherland will follow up with Director mid next week to check on potential opening on 12/07/20.

No deficiencies are cited.

An exit interview was conducted with the Director. The Director was provided a copy of their appeal rights, this report, and the Notice of Site Visit via email. Director will respond to the email confirming receipt of these items. This will act as Licensee’s signature on today’s inspection report. Notice of Site Visit will remain posted for 30 days.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Annette SutherlandTELEPHONE: (619) 629-8751
LICENSING EVALUATOR SIGNATURE:
DATE: 12/01/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/01/2020
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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