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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376627673
Report Date: 07/06/2020
Date Signed: 07/06/2020 03:41:47 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:GANDARILLA, MA DE LOURDES FAMILY CHILD CAREFACILITY NUMBER:
376627673
ADMINISTRATOR:MA DE LOURDES GANDARILLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 906-6174
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:14CENSUS: 0DATE:
07/06/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:MARIA GANDARILLATIME COMPLETED:
03:50 PM
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On 7/6/2020 at 3:15 PM, Licensing Program Analysts (LPA) Annette Sutherland and (LPA) Elise Read conducted an unannounced Case Management Inspection due to a reported positive case of COVID-19 at this facility. Due to COVID-19, this inspection was conducted telephonically. LPA Sutherland spoke with licensee,Maria Gandarilla. The facility is closed at this time due to this positive COVID case and does not have an expected re-opening date. A full facility inspection was not conducted today.

LPA provided Epidemiology phone number to licensee to contact.

Licensee states that there were 2 children in care at the time of exposure. When licensee was made aware of the positive COVID case, she immediately closed her facility and has not re-opened.

No deficiencies are cited.

An exit interview was conducted with the Licensee. The Licensee was provided a copy of their appeal rights, this report, and the Notice of Site Visit via email. Licensee will respond to the email confirming receipt of these items. This will act as Licensee’s signature on today’s inspection report. Notice of Site Visit will remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Annette SutherlandTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2020
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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