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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701042
Report Date: 09/24/2021
Date Signed: 09/24/2021 01:53:07 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:SAN DIEGO RESCUE MISSION CHILDREN'S CENTERFACILITY NUMBER:
376701042
ADMINISTRATOR:MICHELLE FREITASFACILITY TYPE:
850
ADDRESS:120 ELM STREETTELEPHONE:
(619) 819-1767
CITY:SAN DIEGOSTATE: CAZIP CODE:
92101
CAPACITY:21CENSUS: 0DATE:
09/24/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Luis Sanchez, DirectorTIME COMPLETED:
01:55 PM
NARRATIVE
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On 09/24/2021, at 1:31 PM, Licensing Program Analyst (LPA), Edgar Campana conducted an unannounced case management inspection with the Center Director, Luis Sanchez. No daycare children were present. Two staff members were present in the facility during this inspection.

During the course of an investigation, it was discovered that two individuals without a criminal record clearance were allowed to volunteer at facility between August 10, 2021 and August 12, 2021.

AB633 requires upon receipt, Director shall post (observed by LPA) and provide copies of this licensing report to parents/guardians of children in care at the facility and parents/guardians of children newly enrolled at the facility during the next 12 months. An Acknowledgment of Receipt of Licensing Reports, Form LIC 9224 must be signed and placed in each child’s file.

A copy of this report, LIC 809D, appeal rights (LIC 9058), LIC 9224, and LIC 9213 – Notice of Site Visit were provided to the Director. LPA observed Director post the LIC 9213 and the Director was advised to keep the LIC 9213 posted for 30 days

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D). An exit interview was conducted with Director, Luis Sanchez.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: SAN DIEGO RESCUE MISSION CHILDREN'S CENTER
FACILITY NUMBER: 376701042
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/24/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
09/28/2021
Section Cited

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CCR 101170(e)(1) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department.
This requirement was not met as evidenced by:
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Based on records review and interim director's admission, interim director did not ensure volunteers had a criminal record clearance to this facility as required, which poses an immediate Health and Safety risk to the children in care.
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Director has further stated that he will submit a written substitute teacher hiring plan to the Department by 09/28/21.
LPA also advised Director ro review the Background Check Process on the CCLD website.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:
DATE: 09/24/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/24/2021
LIC809 (FAS) - (06/04)
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