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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100019
Report Date: 11/13/2019
Date Signed: 11/13/2019 03:37:10 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:GUERRA, DINA FAMILY CHILD CAREFACILITY NUMBER:
376100019
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
11/13/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Dina GuerraTIME COMPLETED:
03:45 PM
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An unannounced case management inspection was conducted today. LPA Nancy Diaz met with licensee, Dina Guerra. She was home today with 5 children. This includes 3 daycare children and her own two children ages 5 & 8. Fire Marshall clearance was granted on 11/8/2019 by the San Diego Fire Prevention Bureau.

Mrs. Guerra's helper is Guadalupe Gonzalez-Lopez. Included in today's discussion is the capacity allowed for a large license:

The maximum number of children whom care may be provided when there is an assistant shall be twelve children with no more than four infants or 14 children with no more than 3 infants and one child enrolled in kindergarten or elementary and one child is at least 6 years old.

A license for large is granted effective today, 11/13/19.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019
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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