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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300296
Report Date: 10/04/2023
Date Signed: 10/04/2023 11:19:49 AM

Document Has Been Signed on 10/04/2023 11:19 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:SANCHEZ FAMILY CHILD CAREFACILITY NUMBER:
336300296
ADMINISTRATOR:SANCHEZ,YULIYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 472-3205
CITY:MENIFEESTATE: CAZIP CODE:
92584
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
10/04/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:28 AM
MET WITH:Yuliya SanchezTIME COMPLETED:
11:25 AM
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On October 4, 2023, at 10:28 AM Licensing Program Analyst (LPA) Courtnee Peebles arrived unannounced to the facility to conduct a case management visit due to an unusual incident report submitted for an incident that occurred on 09/11/2023 involving an injury to a child (C1). C1 sustained a laceration above her eye from playing in the baby area and slipped on the floor and hit her eyebrow on the shelf. Parents picked C1 up immediately and took C1 to the emergency room where C1 obtained stitches to the laceration. LPA met with Licensee (L) Yuliya Sanchez and conducted a tour of the facility. LPA observed the area where the incident occurred and conducted interviews with L and one staff (S1), who was present when the incident occurred. LPA determined that the facility was not in violation of licensing regulations and acted appropriately. There were no deficiencies issued during this visit. An exit interview was conducted, a copy of this report, LIC 811 (Confidential Names List) and appeal rights were reviewed with, and provided to Licensee Yuliya Sanchez. A Notice of Site Visit was also provided and shall remain posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023
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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