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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626673
Report Date: 06/13/2023
Date Signed: 06/13/2023 04:14:16 PM


Document Has Been Signed on 06/13/2023 04:14 PM - 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:LOVERA LOPEZ, JOSUE FAMILY CHILD CAREFACILITY NUMBER:
376626673
ADMINISTRATOR:JOSUE LOVERA LOPEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 610-8403
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 3DATE:
06/13/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Josue Lovera LopezTIME COMPLETED:
04:00 PM
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On 06/13/2023 at 3:30 PM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced Plan of Correction/Case Management inspection with the Licensee Josue Lovera Lopez. LPA advised Licensee Josue Lovera Lopez of the inspection's purpose and they granted LPA facility entry. Present in the daycare were three (3) daycare children; ages 2 years, 4 years and 8 years. The Licensee and two (2) helpers were also present in the facility during this inspection.

On 06/08/2023, the Licensee was cited on CCR 102416.5(f) – Staffing Ratio and Capacity. On 06/08/2023, the Licensee was provided with the hard copy of CCR 102416.5(f) and counseled on this code section. The Licensee has already provided LPA with a written statement acknowledging the legal need to maintain his legal capacity and the steps he will take to ensure is legal capacity is maintained. This deficiency has been cleared.

A Notice of Site Visit (LIC 9213) is to be posted for thirty (30) days. LPA observed the Licensee post this notice. An exit interview was conducted with the Licensee. Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to Licensee and their signature on this form confirms receipt of these rights.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2023
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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