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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100019
Report Date: 12/14/2020
Date Signed: 12/14/2020 10:44:45 AM

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:DINA GUERRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 252-2062
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:14CENSUS: 0DATE:
12/14/2020
TYPE OF VISIT:Case Management - IncidentANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Dina GuerraTIME COMPLETED:
10:42 AM
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On 12/14/20 at 10:00 AM, Licensing Program Analyst (LPA) Keturah Lane, conducted an announced Case Management Tele-Inspection visit regarding two children who tested positive for COVID-19 at this facility. Due to COVID-19, a tele-inspection was conducted using FaceTime to tour the facility. Licensee Dina Guerra was present at the tele-inspection and her husband Jose Cardenas translated. Also present in the home were Licensee’s 3 children.

Census at time of report was 0 children because the facility was closed. Licensee decided to close the facility on 12/4/20 after receiving two positive test results from the parent on that day. Child had a runny nose on 12/02 and Licensee suggested to the parent that she take him to the doctor. Parent took both children to the doctor on 12/03 and children were tested for COVID-19. Children attended the daycare on 12/4/20 and the parent notified Licensee of positive test results later that afternoon. Last day children attended daycare was 12/4/20. Licensee called DPH on 12/4/20, spoke with Maira Quinones and was instructed to close the facility for deep cleaning and quarantine 12/4/20 – 12/18/20. Licensee notified all parents on 12/4/20 by phone. Licensee and family were tested and all results were negative. Licensee stated she is receiving the recent PINs and information from the Department via e-mail. Census on the last day of care which was 12/4/20 was 9 children (including provider’s own 3 children). COVID-19 guidelines televisit was conducted with LPA Sutherland on 10/1/2020.
LPA Lane will continue to follow up with Licensee on the facility's situation. LPA Lane e-mailed COVID-19 resources and guidelines for review to Licensee. LPA received LIC624b Unusual Incident report and facility roster as required via mail on 12/8/20.

An exit interview was conducted with the Licensee. Appeal Rights were discussed and provided. Facility was advised to post the Notice of Site Visit for 30 days. A copy of the report, appeal rights and notice of site visit will be e-mailed to the facility and Licensee was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2020
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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