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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844204
Report Date: 03/24/2022
Date Signed: 03/24/2022 02:32:15 PM

Document Has Been Signed on 03/24/2022 02:32 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:SANCHEZ FAMILY CHILD CAREFACILITY NUMBER:
364844204
ADMINISTRATOR:SANCHEZ, TIFFANYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 403-0543
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
03/24/2022
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Tiffany Sanchez Licensee TIME COMPLETED:
02:38 PM
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Licensing Program Analyst (LPA) Steven Montoya met with licensee, Tiffany Sanchez, who guided analyst on a tour of the family child care home for a Case Management Health and Safety Inspection.

This is a single story 3 bedroom, 3 bathroom home with kitchen/dining, family room, living room, bonus room (child care), laundry and garage. The home was inspected inside and out for safety, clean and orderly, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (off limit area), medicines (off limits bedrooms) and hazardous items (sharp knives inside kitchen cabinet) that can not pose a danger to children. Present at time of inspection, children in care (7) with licensee.

The smoke detector and carbon monoxide detector, Fire Extinguisher (2A10BC) and home security system has fire and police which in operable condition. Per licensee no one smokes in the home. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled items and or prohibited toys or sleep/play equipment were observed on the premises.

Per licensee there is one weapon/firearms in the home. Licensee report firearms are is a secure location in the licensee master bedroom. Licensee reports firearm has a master lock which is in compliance with title 22 regulations.

A copy of the report was left with the licensee, appeals rights and notice of site visit.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE: DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2022
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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