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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626115
Report Date: 06/20/2023
Date Signed: 06/20/2023 09:53:07 AM


Document Has Been Signed on 06/20/2023 09:53 AM - It Cannot Be Edited

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:DELUCCHI, SANDRA FAMILY CHILD CAREFACILITY NUMBER:
376626115
ADMINISTRATOR:SANDRA DELUCCHIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 656-8441
CITY:CHULA VISTASTATE: CAZIP CODE:
91915
CAPACITY:14CENSUS: 6DATE:
06/20/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Sandra DelucchiTIME COMPLETED:
10:00 AM
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On 06/20/2023 at 8:30am, Licensing Program Analyst (LPA), David Miller conducted a Plan of Correction (POC) inspection at the facility. Purpose of this inspection is to ensure the citation issued 06/14/2023 was corrected. LPA was also present to deliver an amended report originally created on 06/14/2023. Upon arrival LPA met with the licensee, Sandra Delucchi, and explained the purpose of the inspection. There were four (4) preschool age children and two (2) infants present during the visit.

LPA observed the facility within staffing ratio and verified the written plan of correction.
Child files were reviewed and contain signed LIC9224 Acknowledgement of Licensing Report.

No deficiencies cited.

Exit interview was conducted with the licensee Sandra Delucchi. Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: David MillerTELEPHONE: (619) 987-8901
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2023
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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