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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376619062
Report Date: 09/24/2019
Date Signed: 09/24/2019 10:07:23 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:DELGADO, PATRICIA FAMILY CHILD CAREFACILITY NUMBER:
376619062
ADMINISTRATOR:PATRICIA DELGADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 656-9615
CITY:CHULA VISTASTATE: CAZIP CODE:
91914
CAPACITY:14CENSUS: 7DATE:
09/24/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Patricia DelgadoTIME COMPLETED:
10:15 AM
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LPA Armando Locano completed an un-announced case management visit today, met with licensee Patricia Delgado, 7 daycare children were present during the visit and cleared adult helper, all children were within proper capacity ratios. The purpose of the visit, was to deliver a correct copy of “Facility Evaluation Report,” that was completed on 9/19/19. The original copy left at the facility on 9/19/19, day of visit, had the wrong date, showing 8/8/19. The date was corrected on the report, to reflect the correct date of 9/19/19, which was the date the Annual Visit was conducted. Correct report with correct date of 9/19/19 provided to licensee today.

All was in order on today’s case management visit, all children were properly being supervised and all areas were observed to be properly childproofed.

There are no deficiencies cited on this visit, all required paperwork was in order and properly posted.

LPA provided copy of LIC 9213, “Notice of Site Visit,” and observed licensee posting notice during visit.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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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