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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300935
Report Date: 11/30/2023
Date Signed: 11/30/2023 10:38:43 AM

Document Has Been Signed on 11/30/2023 10:38 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:SANDERS FAMILY CHILD CAREFACILITY NUMBER:
336300935
ADMINISTRATOR:SANDERS, EMMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 229-5784
CITY:SAN JACINTOSTATE: CAZIP CODE:
92582
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: DATE:
11/30/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Emma Sanders and Allen Olguin TIME COMPLETED:
11:00 AM
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On November 30, 2023, an informal conference was held at the Riverside Child Care Office. Present during the conference were Licensing Program Manager Pauline Beschorner, Licensing Program Manager, Carlos Martinez, Licensing Program Analysts Anastasia Flores, Cindy Hamilton & Sumayya Habeebula, Licensee, Emma Sanders, and Spouse of Licensee Allen Olguin.

The following items were discussed:

Background clearances, Personal Rights, Staff and Children Records, Care and Supervision

Licensee understands that the facility will be placed on required visits for a period of one year, which includes unannounced required visits by the department. If the department determines that the licensee has violated the law or regulations it may refer the facility for revocation or other appropriate administrative action.

Licensee will provide the department a written statement, that she is aware spouse, Allen Olguin is not to be left alone with the children at any time. Licensee will also provide our department a plan how she will keep the home in good condition, and a written plan how she will remain in compliance with Title 22 Regulations.


This report was reviewed with and provided to the licensee, Emma Sanders.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2023
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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