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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376615314
Report Date:
07/10/2019
Date Signed:
07/10/2019 02:14:48 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:
VIRAMONTES, IMELDA FAMILY CHILD CARE
FACILITY NUMBER:
376615314
ADMINISTRATOR:
VIRAMONTES, IMELDA
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(619) 781-5582
CITY:
SAN DIEGO
STATE:
CA
ZIP CODE:
92104
CAPACITY:
14
CENSUS:
3
DATE:
07/10/2019
TYPE OF VISIT:
POC
UNANNOUNCED
TIME BEGAN:
01:55 PM
MET WITH:
Imelda Viramontes
TIME COMPLETED:
02:20 PM
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LPAs Nancy Diaz and Elizabeth Rivera conducted an unannounced POC (Plan of Correction) inspection. The purpose of this inspection is to review the corrections to the deficiencies cited on 6/24/2019.
Mrs. Viramontes was home today supervising 3 daycare children. The following corrections were observed:
1. Staff Saray and Jessica Martinez completed the Mandated Reporter Training. Certificates were on file.
2. Staff Saray and Jessica Martinez have obtained their required immunization. Proof of immunization records are now on file.
ALL CORRECTIONS COMPLETED. NO FURTHER DEFICIENCY CITED.
SUPERVISOR'S NAME:
Carolina Ramos
TELEPHONE:
(619) 767-2206
LICENSING EVALUATOR NAME:
Nancy Diaz
TELEPHONE:
(619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE:
07/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
07/10/2019
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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