376701358-11-12-2020-51-CC-KLAE-BVB2X5-20201112164635

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701358
Report Date: 11/12/2020
Date Signed: 11/12/2020 04:47:34 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:	OPEN MINDS LANGUAGE IMMERSION PRESCHOOL		FACILITY NUMBER:	376701358
ADMINISTRATOR:	ANGELICA MARIE PACIS		FACILITY TYPE:	850
ADDRESS:	4825 COLLEGE AVENUE		TELEPHONE:	(619) 665-1264
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY:	42	CENSUS: 0	DATE:	11/12/2020
TYPE OF VISIT:	Case Management - Incident	ANNOUNCED	TIME BEGAN:	04:00 AM
MET WITH:	Christine D'Amico		TIME COMPLETED:	04:43 PM

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	On 11/12/20 at 4:00 PM, Licensing Program Analyst (LPA) Keturah Lane, conducted an announced Case Management Tele-Inspection visit regarding a day care parent and child who tested positive for COVID-19. Due to COVID-19, a tele-inspection was conducted using Zoom to tour the facility. LPA Lane met with Director Christine D’Amico. Census at time of report was zero children as they had all been picked up for the day. Director stated that she contacted the Dept of Health and spoke with Heather Gutierrez on 11/4/20 and 11/6/20. Director reported to CDSS on 11/6/2020 and left a message on the duty line. LPA Lane called Director on 11/6/2020 to follow up. Director stated that the parent notified the facility of the positive test result on 11/4/20 and was last at the facility on 10/30/20. Director stated that the child tested positive on 11/6/20 and was last at the facility on 11/4/20. The date of exposure was 11/4/20, possibly earlier since the parent had earlier contact with facility and had experienced symptoms on 11/1/20. Director stated that parents are not allowed entry into the facility and are required to wear face masks at drop-off and pick-up. Per health department instructions, the school age classroom will remain closed through 11/18/20 and re-pen on 11/19/20. The rest of the facility remains open. Child that tested positive is not to return to the classroom for 24 days which will be 12/4/20. Total census at the facility on 11/4/20 was 32 and 12 in Classroom #1 (school age classroom). Facility completed COVID-19 tele-visit with LPA Elise Read on 7/7/20. Director is creating a letter to go over with parents regarding COVID-19 guidelines. If the parents don’t follow the procedures their enrollment could be terminated. Parents will sign the letter and it will go in the file. Director also stated they will fully screen with all COVID-19 questions listed in the guidance of each family at drop-off daily. (continued on LIC809-C...)

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2020

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: OPEN MINDS LANGUAGE IMMERSION PRESCHOOL	FACILITY NUMBER: 376701358
	VISIT DATE: 11/12/2020

NARRATIVE

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Staff disinfected and sanitized entire classroom and all equipment. Director notified and advised all families and staff members to monitor themselves during the next 14 days for symptoms and to get tested. LPA Lane will continue to follow up with Director D’Amico on the facility's situation. LPA received the written LIC624 report and Child roster as requested on 11/9/20.

An exit interview was conducted with the Director. Appeal Rights were discussed and provided. Facility was advised to post the Notice of Site Visit for 30 days. A copy of the report will be e-mailed to the facility and Director was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2020

LIC809 (FAS) - (06/04)

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