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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376617458
Report Date: 08/07/2020
Date Signed: 08/07/2020 05:00:42 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:TORRES, IRMA FAMILY CHILD CAREFACILITY NUMBER:
376617458
ADMINISTRATOR:IRMA TORRESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 583-2024
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:14CENSUS: 0DATE:
08/07/2020
TYPE OF VISIT:Case Management - IncidentANNOUNCEDTIME BEGAN:
04:30 AM
MET WITH:Irma TorresTIME COMPLETED:
04:57 PM
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On 8/7/20 at 4:30 PM, Licensing Program Analyst (LPA) Keturah Lane, conducted an announced Case Management Tele-Inspection visit regarding the licensee who tested positive for COVID-19. Due to COVID-19, a tele-inspection was conducted using Zoom to tour the facility. Licensee Irma Torres was present at the tele-inspection. Her daughter Carolina Sanchez translated via zoom. Census at time of report was 0 children because the facility was closed. Licensee decided to close the facility on 7/25/20 after a parent of an enrolled child tested positive for COVID-19. Licensee was tested on 7/26/20 and received the positive test result on 7/30/20. It was reported to the duty line on 7/30/20. Licensee spoke with Vanessa Ramirez at DPH. Licensee spoke with LPA Tyra Banks at Licensing.

LPA Lane will continue to follow up with Licensee on the facility's situation. LPA received LIC624b Unusual Incident report as required. LPA requested a copy of the facility roster and will receive it via e-mail from the daughter.

An exit interview was conducted with the Licensee. Appeal Rights were discussed and provided. Facility was advised to post the Notice of Site Visit for 30 days. A copy of the report, appeal rights and notice of site visit will be e-mailed to the facility and Licensee was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2020
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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