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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009171
Report Date: 01/05/2022
Date Signed: 01/05/2022 11:59:59 AM

Document Has Been Signed on 01/05/2022 11:59 AM - 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:SANCHEZ FAMILY CHILD CAREFACILITY NUMBER:
198009171
ADMINISTRATOR:MARIA GUADALUPE SANCHEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 589-4046
CITY:HUNTINGTON PARKSTATE: CAZIP CODE:
90255
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 1DATE:
01/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Maria SanchezTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Elka Chavez conducted a case management inspection to amend the Case Management report dated November 09, 2021. LPA met with Maria Sanchez, Licensee who assisted LPA with touring the facility.

A copy of the amended report was discussed, and a copy of the amended report was provided to Mrs. Sanchez during this inspection.

No deficiencies cited.

Exit interview conducted with Maria Sanchez, Licensee.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 01/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/05/2022
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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