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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700400
Report Date: 07/14/2020
Date Signed: 07/14/2020 10:36:45 AM

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:BALDWIN ACADEMYFACILITY NUMBER:
376700400
ADMINISTRATOR:DARLA RODRIGUEZFACILITY TYPE:
850
ADDRESS:1752 HORNBLEND STREETTELEPHONE:
(858) 270-5995
CITY:SAN DIEGOSTATE: CAZIP CODE:
92109
CAPACITY:75CENSUS: 17DATE:
07/14/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Darla RodriguezTIME COMPLETED:
10:45 AM
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On 7/14/2020 at 10:00 AM, Licensing Program Analyst (LPA) Elise Read conducted an unannounced Case Management Inspection due to a reported positive case of COVID-19 of one of the facility's staff members. Due to COVID-19, this inspection was conducted telephonically. No full facility inspection was conducted.LPA Read spoke with Director Darla Rodriguez. The facility is open, but the classroom of the staff member is closed at this time due to this positive COVID case and plans to re-open after a 2 week quarantine. Director has spoken with the Department of Public Health and has been told that they can remain open at this time.

Director states that the staff member was on campus days prior to testing positive for COVID-19. Director was informed on Sunday, 07/12/2020, that the staff member had tested positive. The staff member was with a stable group of 12 children the days prior to testing positive.

Director has had the classroom closed since the exposure. The Department of Public Health inquired in to the facility’s protocols and required Director to notify all of the families, which she did immediately. LPA Read and Director will follow up at the end of this week.

No deficiencies are cited.

An exit interview was conducted with the Director. The Director was provided a copy of their appeal rights, this report, and the Notice of Site Visit via email. Director will respond to the email confirming receipt of these items. This will act as Director’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: Elise ReadTELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2020
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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