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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444413901
Report Date: 01/29/2020
Date Signed: 01/29/2020 12:15:44 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:DELATORRE,SANDRA JANETFACILITY NUMBER:
444413901
ADMINISTRATOR:DELATORRE,SANDRA JANETFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 539-8323
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 4DATE:
01/29/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Sandra DelatorreTIME COMPLETED:
12:30 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
Analyst Behbood met with licensee, Sandra Janet, Licensee. Present also were 4 children. Living in the facility are licensee and her two minor children Days and hours of operation are Monday through-Friday, from 6 AM to 6 PM. Living in the home are licensee and her 2 minor daughters 7 and 8 years old.
All adults living in the home have criminal record clearance as well as child abuse index. They all meet TB test requirement.

LPA toured inside and outside of the home, observed children during lunch. There are no bodies of water present. Licensee states that there are no firearms/weapons in the home. Medicines, poisons and cleaning supplies are inaccessible to the children. There is a fully charged fire extinguisher, operational smoke and carbon monoxide detector. Home appears clean, has proper heating, lighting and ventilation for safety and comfort. LPA observed safe and sufficient toys, play equipment, materials and supplies for the day-care. Cell number is on file with licensing her land line number is (831) 228 1071 Licensee understands smoking is prohibited. Licensee identified the following off limit area inside the home: 3 bedrooms and kitchen. She uses the front and side yard for playground and all is accessible to children. The playground is fenced with adequate toys.

Licensee has current CPR and First Aid that expires in 02/02/21 Licensee have proof of the required immunization on file. She has an up to date children's roster. The fire drills are documented. Children were supervised during the visit. Licensee states she doesn't transport children and understands children may never to be left in parked vehicles. She understand car seat law. None of children are on medication.
Periodic information releases accessible by signing up at: www.myccl.ca.gov
No deficiency was noted during today's visit.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Mahvash BehboodTELEPHONE: (408) 334-8552
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020
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