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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376612766
Report Date: 11/08/2019
Date Signed: 11/08/2019 02:51:57 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:LACARRA, YOLANDA FAMILY CHILD CAREFACILITY NUMBER:
376612766
ADMINISTRATOR:LACARRA, YOLANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 934-7666
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY:14CENSUS: 7DATE:
11/08/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Yolanda Lacarra, ProviderTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) D. Sanchez, made an unannounced Case Management inspection to the facility today to amend complaint report dated 8/09/2019.

LPA met with provider Yolanda Lacarra and advised her the purpose of this inspection. There were 7 children present during today's inspection.

LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Community Care Licensing WEB SITE: http://www.ccld.ca.gov

There are no deficiencies cited on this incident, all paperwork is in order and required documents were properly posted.

An exit interview was conducted with Yolanda Lacarra and a copy of this report left at the facility.

LPA observed provider placing the Notice of Cite Visit on the wall visible to parents during today’s inspection.
NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
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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