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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 354415982
Report Date: 03/02/2021
Date Signed: 03/02/2021 08:57:38 AM

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:SCHWEHR, SANDRAFACILITY NUMBER:
354415982
ADMINISTRATOR:SANDRA SCHWEHRFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 801-8698
CITY:HOLLISTERSTATE: CAZIP CODE:
95023
CAPACITY:14CENSUS: 0DATE:
03/02/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:02 AM
MET WITH:Sandra SchwehrTIME COMPLETED:
09:00 AM
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Licensing Program Analyst (LPA) Deanna Villagrana met with applicant Sandra Schwehr for a follow up pre-licensing inspection via Facetime. Applicant lives in the home alone.

Applicant showed LPA mother in law unit. The unit has two bedrooms and one bathroom with an attached garage. Licensee stated her daughter will be moving in about a week to the unit. LPA observed clothes in the bedrooms and living room area, food and cleaning supplies in the kitchen drawers and cabinets and bathroom products such as toothbrushes, toothpaste and hair brushes in the bathroom drawers. The unit will be off limits to children and must be locked at all times. LPA observed applicants fingerprints were transferred and are cleared.

LPA conducted an exit interview with the Applicant and advised her that a large Family Child Care Home license is pending Managers approval.

This report has been emailed to Applicant and Applicant will reply to email in lieu of a signature.

SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Deanna VillagranaTELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2021
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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