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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701447
Report Date: 08/22/2022
Date Signed: 08/22/2022 01:33:15 PM


Document Has Been Signed on 08/22/2022 01:33 PM - It Cannot Be Edited

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:HSHMC CHILD CARE CENTERFACILITY NUMBER:
376701447
ADMINISTRATOR:SONIA SMITHFACILITY TYPE:
830
ADDRESS:3910 UNIVERSITY AVENUE STE 100TELEPHONE:
(619) 255-9546
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:8CENSUS: 1DATE:
08/22/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Director Sonia SmithTIME COMPLETED:
12:15 PM
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On August 22, 2022 at 11:40 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a case management inspection for the purpose to provide Technical Assistance (TA) resultant of a COVID 19 outbreak and to ensure local public health department, Centers for Disease Control (CDC) and licensing recommendations are currently adhered to by staff.

LPA advised Director Sonia Smith of the meeting’s purpose and was granted facility entry. Present in the daycare was one (1) infant and two (2) staff. The daycare operations schedule is weekdays from 7:00 AM to 4 PM.

The facility experienced a COVID 19 outbreak in July 2022. Staff conducted a deep cleaning of the entire center. Staff have followed the reporting requirements with Licensing and the Local Health Department and worked closely with both departments to prevent the spread of COVID-19.

During this TA inspection, LPA observed that COVID-19 awareness posters posted and staff wore facial masks. LPA reviewed the COVID-19 Guidance with the director.

No deficiencies were issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Sonia Smith.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2022
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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