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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372012294
Report Date: 03/30/2022
Date Signed: 03/30/2022 11:49:15 AM

Document Has Been Signed on 03/30/2022 11:49 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ORR, SHARON FAMILY CHILD CAREFACILITY NUMBER:
372012294
ADMINISTRATOR:SHARON ORRFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 274-8346
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
03/30/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Sharon OrrTIME COMPLETED:
12:15 PM
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On 3/30/22 at 11:15 am Licensing Program Analyst (LPA) Adrian Mangina conducted a Plan of Correction visit to the child care home to follow-up on deficiency cited during annual inspection on 2/9/22. LPA met with Licensee, Sharon Orr. Also in the home were Assistants Jennifer Trujillo and Emylee Workman and 12 daycare children. Proper ratios and supervision were observed.

LPA verified that:

1) Child #1, Child #2, have complete child files
2) 6 of 6 staff have complete files
3) Licensee provided masks to all children in care
4) 6 of 6 staff have completed Mandated Reporter training
5) 15 of 15 children in care have complete files
6) Licensee provided current roster of children

No deficiencies were cited during this visit.

Exit interview conducted. Licensee, Sharon Orr, was provided with a copy of this report. Their signature on this form is acknowledgement of receipt. A Notice of Site Visit (LIC9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2022
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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