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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600145
Report Date: 08/15/2022
Date Signed: 08/15/2022 04:21:50 PM


Document Has Been Signed on 08/15/2022 04:21 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:ALEXA'S PLAYCFACILITY NUMBER:
376600145
ADMINISTRATOR:NORA CAMACHOFACILITY TYPE:
850
ADDRESS:3685 KEARNY VILLA ROADTELEPHONE:
(858) 966-8555
CITY:SAN DIEGOSTATE: CAZIP CODE:
92123
CAPACITY:92CENSUS: 58DATE:
08/15/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Nora CamachoTIME COMPLETED:
02:45 PM
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On 8/15/22 at 1:45 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced case management inspection to follow up on an unusual incident report. The report was regarding (received 8/9/22) four children (3 in Walrus and 1 in Whale rooms) contracting Hand, Foot and Mouth Disease (HFM). Upon arrival, LPA Lane met with facility representative Director Nora Camacho and toured the facility. Census was 58 children in 5 rooms with 20 staff members.

LPA Lane observed appropriate capacity and ratio while at the facility. LPA interviewed staff members in the Whale and Walrus classrooms. One additional case was reported to LPA Lane that happened in the Walrus room (4 cases). All 5 children reported with HFM have returned to the facility and there have been no further cases.

Staff members stated they deep cleaned the classrooms, toys and are sanitizing several times per day. Facility is still keeping children separated by cohorts and wearing masks inside the facility. Based upon inspection and interviews with staff it was found that staff did their best to prevent spread of the disease and notified parents to monitor children at home for symptoms.

No deficiencies cited

Exit interview conducted and report was reviewed with facility representative Director Nora Camacho. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:
DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2022
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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