<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376620330
Report Date: 07/06/2021
Date Signed: 07/06/2021 05:07:50 PM

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:GARCIA, TERESA FAMILY CHILD CAREFACILITY NUMBER:
376620330
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 8DATE:
07/06/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:55 PM
MET WITH:Teresa Garcia, LicenseeTIME COMPLETED:
03:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 07/06/2021, at 2:55 p.m., Licensing Program Analyst (LPA) Michelle Hood, made an unannounced inspection to follow up on a room change in the facility. There were 8 (eight) daycare children present at the time of inspection. LPA inspected bedroom #1 and hallway bathroom. The facility "daycare" room (garage) is off-limits to daycare children in care. Licensee will be using living room, dining room, hallway bathroom, kitchen, bedroom #1 and back yard for daycare children in care.


Licensee was provided a copy of the licensing report and LIC 9213 - Notice of Site Visit. An exit interview was conducted.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1