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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016360
Report Date: 03/16/2022
Date Signed: 03/16/2022 03:27:53 PM


Document Has Been Signed on 03/16/2022 03:27 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:SANABRIA FAMILY CHILD CAREFACILITY NUMBER:
198016360
ADMINISTRATOR:SANABRIA, LEONORFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 758-7124
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY:12CENSUS: 11DATE:
03/16/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Leonor SanabriaTIME COMPLETED:
03:43 PM
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Visit conducted in English and Spanish using Translation #14329
Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Case Management inspection. LPA met with Licensee Leonor Sanabria who assisted LPA with verifying cleared deficiencies. This visit was also to provide LIC9224 acknowledgement forms March 8, 2022 inspection. Upon arrival LPA observed The Licensee with cleared assistant caring for 11 preschool children.

The following items have been cleared:

1. Capacity and Ratio: LPA observed the Licensee and assistant caring for 11 children. Therefore the facility is in currently in compliance. The previous capacity and ratio citation is cleared. Note: The Licensee indicated that she is using outside assistance when she has to run and errand in the afternoon.

There were no violations cited during this inspection. LPA provided LIC 9224 forms and this information for the previous visit: A copy of the March 8, 2022 report must be provided to the parent or guardian of every child and (including any newly enrolled children) for the next 12 months. The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent/guardian). Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) form.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. This report along with a copy of the appeal rights was provided. Exit interview was conducted with Licensee Leonor Sanabria.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 03/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/16/2022
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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