376701139-7-16-2020-51-CC-GCUS-BRKPW2-20200716114001

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701139
Report Date: 07/16/2020
Date Signed: 07/16/2020 11:40:46 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:	LITTLE LANGUAGE AMBASSADORS		FACILITY NUMBER:	376701139
ADMINISTRATOR:	GABRIELA LAZARO GARDUNO		FACILITY TYPE:	850
ADDRESS:	1635 LAKE SAN MARCOS DR. #101		TELEPHONE:	(760) 510-9639
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92078
CAPACITY:	45	CENSUS: 18	DATE:	07/16/2020
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Laura Lee		TIME COMPLETED:	11:45 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Covid-19 State of Emergency On July 16, 2020 at 11:00 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced Case Management Inspection via Zoom in reference to a staff member who tested positive for COVID-19. LPA met with Licensee Laura Lee and proceeded to tour the facility. Present today were 18 children with 5 staff members. Appropriate ratios were observed. All staff members have the required background clearances and are associated to the facility. The staff member who was diagnosed positive for Covid-19 last worked with the children in care on June 17, 2020. The staff member worked with a stable group of 7 children and one additional staff member. The Licensee states that the staff member was last at the facility the morning of June 25, 2020 for a staff meeting which occurred prior to the arrival of the children. The staff member took the Covid-19 test on June 29, 2020 and was diagnosed positive on Friday, July 3, 2020. The staff member informed the Licensee of the results the same day, July 3, 2020. Ms. Lee states that she notified the Department of Public Health, staff and all parents with children enrolled at the facility of the potential Covid-19 exposure. The staff member was re-tested on Wednesday, July 8, 2020 and the result was negative. The Licensee was notified on July 13, 2020 of the negative result. The staff member who was quarantining at home returned to the facility on Thursday July 16, 2020 to resume her duties. The Licensee states that all areas of the facility are cleaned and sanitized multiple times throughout the day and janitorial staff provide additional cleaning, disinfecting and sanitization after the facility closes each day. No deficiencies are cited.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2020

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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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: LITTLE LANGUAGE AMBASSADORS	FACILITY NUMBER: 376701139
	VISIT DATE: 07/16/2020

NARRATIVE

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LPA emailed Covid-19 resources to the Director including links to the California Department of Public Health (CDPH), Local County Public Health Department, Center for Disease Control (CDC) and the California Department of Social Services (CDSS) webpage where Provider Information Notices (PIN’s) can be found.

An exit interview was conducted with the Licensee. Appeal Rights (1/16) were discussed. The Licensee was advised to post the Notice of Site Visit for 30 days and that failure to keep the posting will result in a $100 civil penalty. A copy of the report and appeal rights will be e-mailed to the facility and Licensee was advised that acknowledgement of the receipt of the report and appeal rights is to be received within twenty-four hours.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2020

LIC809 (FAS) - (06/04)

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