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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 371881387
Report Date: 01/11/2023
Date Signed: 01/11/2023 10:53:36 AM

Document Has Been Signed on 01/11/2023 10:53 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, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:SANCHEZ RESIDENTIAL CARE 2FACILITY NUMBER:
371881387
ADMINISTRATOR:SANCHEZ, ISABELFACILITY TYPE:
735
ADDRESS:13284 JACARANDA BLOSSOM DRIVETELEPHONE:
(858) 335-3540
CITY:VALLEY CENTERSTATE: CAZIP CODE:
92082
CAPACITY: 4CENSUS: 0DATE:
01/11/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:ADMINISTRATOR, ISABEL SANCHEZ.TIME COMPLETED:
10:58 AM
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On January 11, 2023, Licensing Program Analyst (LPA), Venus Mixson conducted a scheduled visit to complete a Pre-licensing inspection. LPA Mixson met with Administrator, Isabel Sanchez and toured the facility inside and out.

The facility is not read at this time for licensing. Administrator stated that due to the rain, Christmas, and more rain that the facility was not able to complete the needed repairs in time for this inspection.

The Administrator stated that she would inform LPA Mixson when the repairs were done and would reschedule the visit at that time.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2023
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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