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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376614230
Report Date: 11/10/2020
Date Signed: 11/10/2020 02:22:28 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LEDESMA, IGNACIA FAMILY CHILD CAREFACILITY NUMBER:
376614230
ADMINISTRATOR:IGNACIA LEDESMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 779-7091
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 0DATE:
11/10/2020
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:04 PM
MET WITH:Ignacia Ledesma, LicenseeTIME COMPLETED:
02:30 PM
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On 11/10/2020 at 2:04 PM, an office meeting was held at the San Diego Child Care Regional Office (SDCCRO) with Regional Manager (RM), Joe Carrasco, Licensing Program Manager (LPM), Jason Garay, Licensing Program Analysts (LPAs), Michelle Hood, Edgar Campana, Licensee, Ignacia Ledesma and Licensees Attorney Dacely Garcia. The purpose of today's meeting is to notify the Licensee that after a review of the investigation and findings that were delivered on 10/02/20, the Community Care Licensing Program has determined an enhanced civil penalty will be issued for the substantiated allegation.

A complaint investigation, LIC 9099, was issued on 10/02/20 giving notice that your facility has been found in violation of one or more requirements for which an immediate civil penalty is warranted in accordance with one of the following California Health and Safety Code Sections: 1596.99(e) or (f); or 1597.58(e) or (f). You are hereby notified that an enhanced civil penalty in the amount of $2,000.00 is assessed for the violation that constitutes physical abuse of a child. LPA reviewed the LIC421D(CC) – Civil Penalty Assessment – Death / Serious Injury / Physical Abuse (Child Care) form with the Licensee.

A copy of this report, LIC 421D(C) and appeal rights were provided to the licensee.

LPA Edgar Campana provided Spanish translation.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2020
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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