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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376617763
Report Date:
10/16/2019
Date Signed:
10/16/2019 11:09:52 AM
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office
,
7575 METROPOLITAN DR., STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
GONZALEZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER:
376617763
ADMINISTRATOR:
MARIA GONALEZ
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(619) 262-8254
CITY:
SAN DIEGO
STATE:
CA
ZIP CODE:
92102
CAPACITY:
14
CENSUS:
4
DATE:
10/16/2019
TYPE OF VISIT:
POC
UNANNOUNCED
TIME BEGAN:
10:25 AM
MET WITH:
Maria Gonzalez
TIME COMPLETED:
11:15 AM
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Licensing Program Analysts (LPAs) Selina Siao and Tyra Block conducted a plan of correction inspection. The purpose of today's inspection is to ensure that the facility is within compliance with all licensing regulations. Upon arrival licensee and her husband Juan Cortez Sandoval pulled up the driveway in their car. There were four day care children including one infant and three preschool age children in the car with licensee and her husband. Mr. Sandoval stated that they were at the grocery store.
Licensee carried the infant and the two year old child into the home and walked the two preschool children into the house. LPAs did not observe any car seat in the home and licensee stated that she no longer put the children inside the car seat when they are in the house.
Facility appears to be in substantial compliance during today's inspection.
This report was translated to licensee in Spanish through Language Link interpreter Carlos #12392.
SUPERVISOR'S NAME:
Monica Cuddy
TELEPHONE:
(619) 767-2249
LICENSING EVALUATOR NAME:
Selina Siao
TELEPHONE:
(619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE:
10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/16/2019
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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