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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628139
Report Date: 02/09/2022
Date Signed: 02/09/2022 10:12:49 AM

Document Has Been Signed on 02/09/2022 10:12 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:SALAZAR LOPEZ, SOFIA FAMILY CHILD CAREFACILITY NUMBER:
376628139
ADMINISTRATOR:SOFIA SALAZAR LOPEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 721-7172
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
02/09/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:17 AM
MET WITH:Sofia Salazar LopezTIME COMPLETED:
10:15 AM
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On 02/09/22 at 9:17 a.m. Licensing Program Analyst (LPA), Rajani Goudreau conducted an unannounced inspection to follow-up on a deficiency cited on January 12, 2022 under complaint 20-CC-20211116144516 and to ensure the facility is in compliance with the licensed capacity and ratio limitations. LPA met with Licensee, Sofia Salazar Lopez and proceeded to tour the home. During the visit the following ratio/capacity were observed: 7 children in care (including two infants). Also, present one staff member. The facility is within ratio and capacity limitations.

Type A deficiency cited under California Code Regulation (CCR) 102416.5(a) - Staffing Ratio and Capacity cited on January 12, 2022 has been cleared. Licensee submitted the following at time of inspection: updated facility roster, updated schedule outlining the times and dates daycare children will be present in the facility and a written plan reflecting the measures put into place to prevent the facility from operating over capacity in the future.


To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.


No deficiencies issued during today's visit. Exit interview conducted and report reviewed with the licensee, Sofia Salazar Lopez. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2022
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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