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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626119
Report Date: 12/16/2022
Date Signed: 12/16/2022 08:34:05 AM


Document Has Been Signed on 12/16/2022 08:34 AM - 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:CABRAL, SANDRA FAMILY CHILD CAREFACILITY NUMBER:
376626119
ADMINISTRATOR:SANDRA CABRALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 271-4226
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:14CENSUS: 5DATE:
12/16/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Sandra CabralTIME COMPLETED:
08:40 AM
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On 12/16/2022 @ 8:15AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced inspection. The purpose of this inspection is to observe correction to the Type A deficiency cited on 12/14/2022 wherein Mrs. Cabral was observed caring for 7 children (5 children under the age of 2) by herself.

Observed present today were 5 children - with 3 children under the age of two. Her helper, (daughter) Veronica was observed leaving upon LPA's arrival. Mrs. Cabral stated that Veronica was picking up Mr. Cabral.

Mrs. Cabral stated that she is in the process of completing the rest of the deficiencies cited on 12/14/2022.

No deficiency observed today.

Exit interview was conducted with Mrs. Cabral. A copy of this report was provided to Mrs. Cabral.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 12/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/16/2022
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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