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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376614229
Report Date: 11/14/2022
Date Signed: 11/14/2022 02:29:48 PM

Document Has Been Signed on 11/14/2022 02:29 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:SANCHEZ, CRISTINA FAMILY CHILD CAREFACILITY NUMBER:
376614229
ADMINISTRATOR:SANCHEZ, CRISTINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 428-5118
CITY:SAN YSIDROSTATE: CAZIP CODE:
92173
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
11/14/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Cristina Sanchez TIME COMPLETED:
02:00 PM
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On 11/142022 at 1:30pm, Licensing Program Analyst (LPA), David Miller conducted an unannounced case management inspection in order to deliver an amended report originally created on 10/19/2022. Upon arrival LPA met with the licensee, Cristina Sanchez and explained the purpose of the visit. There were four children present during the visit.

No deficiencies cited.

Exit interview was conducted with the licensee Cristina Sanchez. Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2022
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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