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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844378
Report Date: 08/23/2023
Date Signed: 08/23/2023 02:22:09 PM


Document Has Been Signed on 08/23/2023 02:22 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:SANDOVAL TERAN FAMILY CHILD CAREFACILITY NUMBER:
334844378
ADMINISTRATOR:SANDOVAL TERAN, GRISELDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 391-9773
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: 0DATE:
08/23/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Erika SandovalTIME COMPLETED:
02:30 PM
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On date and time listed, Licensing Program Analyst (LPA) Lorena Valenzuela met with the assistant Erika Sandoval, for the purpose of conducting an inspection the backyard area, which was previously listed as an off-limits area and is now to be included in the licensed area.

The licensee Griselda Sandoval Teran has made changes to the facility off-limit areas and has reported change in the status. The backyard is now accessible to children in care. LPA Valenzuela conducted an inspection of the backyard and observed are to have safe toys, with dirt ground and licensee has placed floor mats in some areas near and around play structures.

Licensee has updated the LIC999A Facility Sketch to reflect the changes.

THE OFF-LIMITS AREAS ARE NOW: all bedrooms, laundry room, garage, side of the backyard.

An exit interview was conducted, and appeal rights and a copy of this report were provided. A notice of site visit was provided and must be posted for 30 days.

SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Lorena ValenzuelaTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2023
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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