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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001364
Report Date: 06/07/2019
Date Signed: 06/07/2019 03:29:20 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SANCHEZ, MARY SOLFACILITY NUMBER:
384001364
ADMINISTRATOR:SANCHEZ, MARY SOLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 452-0914
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 12DATE:
06/07/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Mary Sol SanchezTIME COMPLETED:
04:00 PM
NARRATIVE
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1, Licensing Program Analyst, LPA Yee conducted an annual random inspection today. There are 12 children, licensee, Mary Sol Sanchez, two helpers present today. The purpose of the inspection was explained. LPA reviewed facility personnel summary report with Mary Sol, she said it's current. Residents at the facility are Mary Sol, her husband, and their son. Daycare areas are the same as from the previous inspection. Day-care areas(lower level): front room, bathroom near the front room, room #2, kitchen, dining room, and bedroom located in the back room for napping. The home is equipped with a smoke alarm which is good for 10 years (first alert 10-year photoelectric fire alarm). Carbon monoxide, and fire extinguisher. Required immunization for staff is on file. LPA discussed the Mandated Reporter Training, AB1207 that was effective on 1/1/2018. All staff must take the training and keep the certificate on file. The training needs to be renewed once every 2 years. Child Abuse Mandated Reporter Training, AB1207. https://www.mandatedreporterca.com/
Licensee may contact Children Council to see if they have it in the Spanish version for her heper.
During the inspection, LPA updated licensee about the product recall "Rock N Play". The facility is ventilated properly. SIDS "A Child Care Provider's Guide to Safe Sleep" was provided. Roster was available during the inspection. LPA advised licensee to keep a current roster.

website: www.ccld.ca.gov. Title 22, Div 12, Chp 3
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019
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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