<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376612766
Report Date: 04/23/2020
Date Signed: 04/23/2020 09:03:28 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: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: 3DATE:
04/23/2020
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Yolanda Lacarra TIME COMPLETED:
09:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA), Rajani Goudreau conducted a virtual Case Management Visit in order to deliver an amended report dated 12/17/19. LPA met with Licensee, Yolanda Lacarra and proceeded to tour the facility. Facility is within ratio and capacity limitations.

No deficiencies issued during today's visit. LPA conducted an exit interview with licensee. LPA discussed and will provide the following to licensee via email: amended reports and LIC9213-Notice of Site Visit and appeal rights. LPA informed licensee once Notice of Site Visit is received to post for 30 days from today's date. COVID-19 State of emergency read receipt notification will be used in place of licensees signature.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1