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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 04:13:11 PM


Document Has Been Signed on 06/13/2023 04:13 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:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Josue Lovera LopezTIME COMPLETED:
03:30 PM
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On 06/13/2023 at 3:00 PM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced Case Management inspection with the Licensee Josue Lovera Lopez to amend a prior report. LPA advised Licensee Josue Lovera Lopez of the inspection's purpose and he 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.

The prior LIC 9099D report, dated 06/08/2023, stated the cited deficiency was CCR 102416.(f). The corrected report reflects the corrected deficiency is CCR 102416.5(f).

Licensee signed the corrected report and was provided with a copy of the signed corrected report.

LPA informed Licensee that the failure of Licensees to pay all applicable and accrued fees and/or civil penalties shall constitute grounds of forfeiture of the daycare license. Licensee stated they understand the license will be closed if they do not pay all licensing fees and states will pay the outstanding annual fee by 06/19/2023.

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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