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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014104
Report Date: 05/04/2022
Date Signed: 05/09/2022 08:49:58 AM


Document Has Been Signed on 05/09/2022 08:49 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:SANDOVAL FAMILY CHILD CAREFACILITY NUMBER:
198014104
ADMINISTRATOR:SANDOVAL, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 876-6573
CITY:CARSONSTATE: CAZIP CODE:
90745
CAPACITY:14CENSUS: DATE:
05/04/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maria SandovalTIME COMPLETED:
10:25 AM
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A virtual Informal Office meeting was conducted on this date via Teams with Facility Representatives, Isabel Avila, Maria Sandoval, and Attorney Janice Mendel. Also, in attendance were Licensing Program Analyst (LPA) Raul Navarro and Licensing Program Manager (LPM) Karen Chambers.

The purpose of the informal meeting was to discuss children from one day care being taken to the other day-care.

Both Licensees were advised that it is a best practice to have written permission from the child’s parent/guardian children before taking them to another facility. To have contact information for children with them in the event of an emergency. Both Ms. Sandoval and Ms. Avila stated that they understood.

Licensee’s was advised that their facilities are to be in compliance with Title 22 at all times. Licensee’s were also advised to access the CCLD website at www.ccld.ca.gov.com often to ensure that Licensees are current on regulatory requirements and activities occurring in the child care community and all reporting requirements are being met.

Exit interview was conducted with Licensees, Isabel Avila and Maria Sandoval who were in agreement with the above. A copy of this report shall be emailed to the Licensees for signing and returned to the Department. Appeal rights were explained and will be mailed with the signed copy of this report provided.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:
DATE: 05/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/04/2022
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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