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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005139
Report Date: 08/23/2022
Date Signed: 08/23/2022 02:05:02 PM


Document Has Been Signed on 08/23/2022 02:05 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:ESCONDIDO COMMUNITY CHILD DEVELOPMENT CENTER, INCFACILITY NUMBER:
372005139
ADMINISTRATOR:NICOLE JAMESFACILITY TYPE:
850
ADDRESS:819 W. 9TH STREETTELEPHONE:
(760) 745-9215
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:77CENSUS: 40DATE:
08/23/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
12:38 PM
MET WITH:Nikki James, DirectorTIME COMPLETED:
02:15 PM
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On August 23, 2022, a case management visit is being conducted in response to the receipt of four (4) unusual incident reports (UIRs) from the facility. LPA met with Director Nikki James. to gather additional details surrounding incidents. The UIRs were received by the licensing agency and dated 01/13/22 (2), 02/04/22 (also called into dutyline 01/31/22) and 02/14/22.

The UIR received on 1/13/2021 indicated that a Child #1 and Staff #1 tested positive for COVID-19 and returned on 01/24/22 and Staff #1 on 01/17/22 . The UIR dated 02/04/22 indicated that Child #2 tested positive for COVID-19 and returned on 02/10/22. UIR dated 02/14/22 indicated that Child #3 and Child #4 tested positive and returned to school on 02/22/22. Per UIRs and Director all involved classrooms were closed, cleaned and sanitized per guidance of local public health department.

During today's visit, LPA toured four (4) rooms (#B1, #B2, #B3, and #B4) to ensure the facility is still following COVID-19 protocol and LPA observed children to be having lunch or napping.

LPA discussed with Director the facility’s COVID-19 procedures and the face coverings mandate that was in effect at the time of the incidents. Director stated currently face masks are still encouraged and facility practices daily sanitizing of classrooms and facility. Director also advised LPA that CCC follows the guidance of the local Department of Public Health’s on hand washing and COVID-19.

An exit interview was conducted, a copy of this report, appeal rights and a Notice of Site Visit was provided to. Director. The Director was reminded that the notice must remain posted for 30 days.

SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2022
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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