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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414734
Report Date: 08/04/2021
Date Signed: 08/04/2021 04:11:39 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SUTACHAN, LIDAFACILITY NUMBER:
434414734
ADMINISTRATOR:SUTACHAN, LIDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 306-8241
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:14CENSUS: 7DATE:
08/04/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Lida SutachanTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Mel Matos met with Lida Sutachan, Licensee, and Manuel Cristancho, Licensee's spouse, for an unannounced case management inspection. LPA arrived at the home today at 3:15 PM and also observed two adult assistants and seven preschool children in the home.

LPA reviewed two staff files during today's inspection. LPA advised Lida and Manuel that they would need to apply for a separate Child Care Center License if they elected to expand beyond Lida's current large Family Child Care Home license in the future. LPA also advised Lida and Manuel that the Department does not allow ownership or financial interest in more than one family child care.

LPA conducted an exit interview and advised the Licensee that no deficiencies issued during today's inspection.


A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S MatosTELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2021
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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