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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701127
Report Date: 03/23/2021
Date Signed: 03/23/2021 11:34:24 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:BABY ANGELS CENTER #2FACILITY NUMBER:
376701127
ADMINISTRATOR:MAYRA CASASFACILITY TYPE:
850
ADDRESS:618 FOURTH AVENUETELEPHONE:
(619) 852-7909
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:12CENSUS: 8DATE:
03/23/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Facility Director Mayra CasasTIME COMPLETED:
11:30 AM
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LPA, Luigi Gargaro, conducted follow up case management visit regarding a previously self-reported incident from the facility. Incident was reported to CCL on 06/17/20 and while an investigation was completed and concluded by analyst, a final determination delivery visit was never conducted with the facility in error. Visit was done on this day to provide facility with findings. The visit was conducted via tele-visit on FaceTime due to the ongoing Covid-19 epidemic.

During the course of incident investigation, analyst spoke with facility director, facility staff members, a day care parent and children in care. Based on interviews and review of documentation related to the reported incident, it was unable to be determined what type of contact, if any, occurred between staff #1 and child #1 as was reported. Analyst found no additional testimonial or other evidence that supported the original description of improper contact between the staff member and the child in care. No further review was required for, or violations issued regarding, the incident.

Analyst met with and reviewed visit report today with facility director Mayra Casas. A copy of the report will be e-mailed to the director and she was advised that acknowledgement of the receipt of the report is to be received within twenty four hours.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2021
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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