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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625439
Report Date: 01/05/2022
Date Signed: 01/05/2022 03:31:38 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:DELGADO, ALICIA & JOSE FAMILY CHILD CAREFACILITY NUMBER:
376625439
ADMINISTRATOR:ALICIA & JOSE DELGADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 741-4788
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY:14CENSUS: 7DATE:
01/05/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
02:56 PM
MET WITH:Alicia & Jose Delgado TIME COMPLETED:
03:45 PM
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On 01/05/22 at 2:56 p.m. Licensing Program Analyst (LPA), Rajani Goudreau conducted a case management inspection for the purpose of  proving  technical assistance (TA) due to a COVID-19 outbreak and ensure local Health Department, CDC and Licensing recommendations are being followed. Upon visit, LPA met with licensees, Alicia & Jose Delgado and proceeded to tour the home. During the visit there were seven children in care; including licensees' three children. Facility operates Monday through Friday from 6:30 a.m. to 6:00 p.m.
 
Facility had a COVID-19 outbreak in December 2021. Facility closed for two weeks due to precautionary reasons and recommendation from the Department of Public Health (DPH) to slow the spread of COVID-19. Licensee reopened the facility Monday, January 03,2022 with the guidance from the DPH. Licensees conducted a deep cleaning of the entire home prior to the reopening of the day care. Licensee has followed the reporting requirements with Licensing and the Local Health Department and worked closely with both departments to prevent the spread of COVID-19.
 
During this TA inspection, LPA observed that COVID-19 awareness posters posted. LPA reviewed the COVID-19 Guidance and the COVID-19 Self-Assessment checklist with licensee.
 
No deficiencies were issued during today's inspection. An exit interview was conducted with Alicia & Jose Delgado. The following was discussed and provided during the inspection: LIC 809, Notice of Site Visit (LIC 9213), and Appeal Rights (LIC 9058). LPA informed the licensee the Notice of Site Visit shall be posted for 30 days from today’s date.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2022
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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