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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274409476
Report Date: 06/02/2026
Date Signed: 06/02/2026 01:50:48 PM

Document Has Been Signed on 06/02/2026 01:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SANCHEZ, MARIAFACILITY NUMBER:
274409476
ADMINISTRATOR/
DIRECTOR:
SANCHEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 269-4263
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
06/02/2026
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:52 AM
MET WITH:Maria SanchezTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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*******************This inspection was conducted in Spanish***************

On 06/02/2026, Licensing Program Manager (LPM) Mireya Flores and Licensing Program Analyst (LPA) Pedro Gutierrez met with licensee Maria Sanchez for a case management visit to verify the adults residing in the home. LPM and LPA explained the reason for the visit. Present were licensee, adult daughters (S2 and S3), and three daycare children.

LPM and LPA toured the indoor and outdoor backyard area during today's visit.
Licensee identified and verified five bedrooms and the adults that occupy the rooms. In addition, licensee identified the off-limit and on-limit areas of the home.

During the inspection, interview was conducted with licensee, an LIC855 (Declaration Form) was obtained from Licensee. Updated LIC279 and LIC279B were obtained during visit. LPM and LPA reviewed Guardian roster dated 06/01/2026 with licensee and verified fingerprint clearance for adults associated in facility. It was revealed that adults, S4 and S5, reside in the home and are not fingerprint cleared.

Report continues on next page 1 of 3
NAME OF LICENSING PROGRAM MANAGER: Mireya Flores
NAME OF LICENSING PROGRAM ANALYST: Pedro Jesus Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SANCHEZ, MARIA
FACILITY NUMBER: 274409476
VISIT DATE: 06/02/2026
NARRATIVE
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Licensee Maria Sanchez was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption prior to initial presence in a Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if the regulation is violated.

LPA contacted the San Jose Regional Office (SJRO) and verified S4 has fingerprint clearance to a licensed facility with no associations to licensee's facility. During this inspection, LPA provided licensee with form LIC9182 (Criminal Background Clearance Transfer Request). Form was completed. LPM contacted SJRO. Transfer request was processed during this inspection.

An immediate $500 Civil Penalty is assessed on this day due to no fingerprint clearance for S5. Licensee stated S5 will be fingerprinted on 06/03/2026 appointment scheduled at 11:30 am with the Sheriff's Department.

During the inspection conducted on 05/15/2026, licensee failed to open the door for the Department. At approximately 9:42 a.m., Licensing Program Manager (LPM) Mireya Flores and Licensing Program Analyst (LPA) Pedro Gutierrez knocked on the front door. At 9:44am, LPM called the licensee’s phone number and left a voicemail. At 9:47 a.m., LPM left a business card on the front door. At 9:48 a.m., LPM and LPA opened the backyard gate and knocked on the glass sliding backdoor. At 9:52 a.m., LPM contacted the Salinas Police Department to request a wellness check. At 10:10am, Officer Badge No. 253, arrived and first attempt conducted knock and notice. On second attempt for knock and notice, licensee opened door.

During this inspection, LPM discussed inspection authority to licensee. LPA provided licensee with a copy of section 102391 - Inspection Authority of the Department.


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NAME OF LICENSING PROGRAM MANAGER: Mireya Flores
NAME OF LICENSING PROGRAM ANALYST: Pedro Jesus Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SANCHEZ, MARIA
FACILITY NUMBER: 274409476
VISIT DATE: 06/02/2026
NARRATIVE
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An immediate $500 Civil Penalty is assessed on this day due to inspection conducted on 05/15/2026, where licensee failed to open the door to the Department representatives.

LPM reviewed and discussed forms LIC279 (Application for a Family Child Care Home License), LIC279B(Current Children in Home/FCCH Application), LIC9151(Property Owner/Landlord Notification FCCH), LIC9182 (Criminal Background Clearance Transfer Request), and LIC999 (Facility Sketch Floor Plan) with licensee.


The following type A deficiencies were cited on the attached page (809-D). Licensee was informed that failure to correct the deficiencies by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

LPA Pedro Gutierrez informed licensee Maria Sanchez that this report dated 06/02/2026 documents TWO Type A citations which shall be posted for 30 consecutive days as there is/are risks to the health, safety, or personal rights of children in care.

Also, LPA Pedro Gutierrez informed the licensee Maria Sanchez to provide a copy of this licensing reported dated 06/02/2026 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child’s file for verification.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Report ends here page 3 of 3
NAME OF LICENSING PROGRAM MANAGER: Mireya Flores
NAME OF LICENSING PROGRAM ANALYST: Pedro Jesus Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/02/2026 01:50 PM - It Cannot Be Edited


Created By: Pedro Jesus Gutierrez On 06/02/2026 at 12:40 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SANCHEZ, MARIA

FACILITY NUMBER: 274409476

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/02/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/03/2026
Section Cited
CCR
102391(b)

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The licensee shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of family child care laws or regulations.
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An immediate $500 Civil Penalty is assessed due to inspection conducted on 05/15/2026, where licensee failed to open the door to the Department representatives. Licensee submitted a written compliance plan (LIC855) that she understands and will comply with Inspection Auhtority for future visits.
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This requirement was not met as evidenced by on 05/15/26 at approximately 9:42 a.m., LPM and LPA knocked on the front door. At 9:44am, LPM called the licensee’s phone number and left a voicemail. At 9:48am, LPM observed Child #1 alone inside the home. In the rear side of the home, LPM knocked on the glass sliding door and identified and announced herself and no response. At 10:11 a.m., the licensee opened the door after knock and noticed from Salinas PD. This poses an immediate risk to the Health, Safety or Personal Rights to children in care.
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A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
Type A
06/03/2026
Section Cited
CCR102370(d)(1)

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All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:
(1) Obtain a California clearance or a criminal record exemption as required by the Department or
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An immediate $500 Civil Penalty is assessed due tono fingerprint clearance for S5. Licensee stated S5 will be fingerprinted on 06/03/2026 at 10am with the Sheriff's Department. Licensee will submit proof of S5's processed fingerprints.
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This requirement was not met as evidenced by, interview conducted with licensee. LPM and LPA reviewed Guardian roster dated 06/01/2026 with licensee and verified fingerprint clearance for adults associated in facility. It was revealed that adult, S5, resides in the home and is not fingerprint cleared. This poses an immediate risk to the Health, Safety or Personal Rights to children in care.
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A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Mireya Flores
NAME OF LICENSING PROGRAM MANAGER:
Pedro Jesus Gutierrez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2026


LIC809 (FAS) - (06/04)
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