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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002505
Report Date: 11/29/2023
Date Signed: 11/29/2023 09:20:07 AM

Document Has Been Signed on 11/29/2023 09:20 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:SANCHEZ FAMILY DAY CAREFACILITY NUMBER:
198002505
ADMINISTRATOR:PATRICIA SANCHEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 581-5794
CITY:HUNTINGTON PARKSTATE: CAZIP CODE:
90255
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/29/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Patricia SanchezTIME COMPLETED:
09:25 AM
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Licensing Program Analyst (LPAs) Warren Birks and Angelica Wallin conducted an unannounced Case Management inspection. LPAs met with Licensee Patricia Sanchez who provided information for the inspection. During the inspection, Licensee indicated that she is closing today and retiring from daycare.

The Licensee provided a declaration indicating that she is closing and submitted her License during the inspection. LPA informed Licensee that she can care for one family of children without a License. The Licensee understood. There were no deficiencies during this inspection.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. This report along with a copy of the appeal rights was provided. Exit interview was conducted with Licensee Patricia Sanchez.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2023
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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