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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274404864
Report Date: 08/31/2023
Date Signed: 08/31/2023 02:07:12 PM


Document Has Been Signed on 08/31/2023 02:07 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:JESSE G. SANCHEZ PRESCHOOLFACILITY NUMBER:
274404864
ADMINISTRATOR:MONICA CANO-RAYASFACILITY TYPE:
850
ADDRESS:901 NORTH SANBORN ROADTELEPHONE:
(831) 753-5760
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:24CENSUS: 5DATE:
08/31/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lourdes LizarragaTIME COMPLETED:
02:20 PM
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Licensing Program Analyst (LPA) Fermin Campos-Jaramillo conducted an unannounced case management inspection to discuss the lead water testing and Action Level Exceedance (ALE) for water outlets within the Facility. LPA met with Lourdes Lizarraga, who is the lead teacher at the center, and explained purpose of today's inspection to her. LPA observed five preschool children and two staff members in the classroom.

Ms. Lizarraga stated she was not informed of the water testing results and called the Operations Supervisor of the Campus to come to the preschool center. Sergio Murillo, Operations Supervisor exchanged with LPA Campos-Jaramillo business cards. Mr. Murillo stated was not aware of the water testing or the other documentation requested. Mr. Murillo stated will gather all the information and then will contact LPA via email.
LPA informed Ms. Lizarraga that the inspection will take effect later and also provided her with a list of documents that the Center was required to submit.

No deficiencies cited today.

Notice of site visit was issued and must remain posted for 30 days.

SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-JaramilloTELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:
DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/31/2023
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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