<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628579
Report Date: 04/13/2022
Date Signed: 04/13/2022 11:55:07 AM

Document Has Been Signed on 04/13/2022 11:55 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SARABIA, A. & GONZALEZ, G. FAMILY CHILD CAREFACILITY NUMBER:
376628579
ADMINISTRATOR:A. SARABIA & G. GONZALEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 245-8499
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
04/13/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Armando Sarabia and Guillemina GonzalezTIME COMPLETED:
11:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On April 13th, 2022 at 10:35 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an inspection to examine a previously off limit room for use. The inspection’s purpose is to ensure that the home follows standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Present in the home were both Licensees, and two (2) infants (both 17 months). The licensee accompanied LPA in the facility during this inspection using the updated facility sketch. The following areas currently used for childcare are the family room, living room, kitchen/dining room, bathroom, and backyard patio. The off-limits areas are inaccessible using door locks or barricaded. The facility’s electric fireplace is located in the living room and is screened.

On 03/14/2022, Licensee applied for use of a previously off limit bedroom. This room is located on the opposite side of the living room. Licensee states this room will be used for the children’s sleep. Observation of this room reveals visible electrical outlets have been covered, the computer desk has rounded corners and the doors to the bathroom and closet have door safety covers. No visible health or safety hazards were observed in this room.

The fire extinguisher, smoke detector, and carbon monoxide detector met the requirements. The last safety drill was done on 01/06/2022. Hazardous items were observed inaccessible to children. The licensee has toys, play equipment, and materials available. No bodies of water were observed on the premises during the inspection.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to the initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE: DATE: 04/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/13/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SARABIA, A. & GONZALEZ, G. FAMILY CHILD CARE
FACILITY NUMBER: 376628579
VISIT DATE: 04/13/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
No corrections are needed in the proposed bedroom and is approved for use.

A 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. Exit interview conducted and report was reviewed with the Licensee Guillermina Gonzalez.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2