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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604696
Report Date: 09/18/2024
Date Signed: 09/18/2024 12:10:26 PM


Document Has Been Signed on 09/18/2024 12:10 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 DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108



FACILITY NAME:SIERRA SUNSHINE CAREFACILITY NUMBER:
374604696
ADMINISTRATOR:CHAPARI, CINDYFACILITY TYPE:
740
ADDRESS:1355 HACIENDA DR.TELEPHONE:
(657) 259-8146
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:6CENSUS: 0DATE:
09/18/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Cindy Chapari, LicenseeTIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Renita Hall, conducted an unannounced Required 1 year Annual Visit. LPA was allowed entry by Cindy Chapari, Licensee. LPA identified herself and disclosed the purpose of the visit with the Licensee.

The facility does not have residents at this time census is zero (0). Physical Environment:  The facility was found to be clean, well-maintained, and free from any safety hazards. Adequate lighting and ventilation were observed in all areas of the facility. All necessary safety equipment, such as fire extinguishers and emergency exits, were present and in good working condition. The facility's outdoor spaces were properly maintained.

Overall, the facility was found to comply with the licensing regulations.  An exit interview was conducted and a copy of this report along with the Licensee Rights (LIC 9058) was provided to Cindy Chapari. Her signature on this form confirms receipt of the documents.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) -76-2317
LICENSING EVALUATOR NAME: Renita HallTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:
DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/18/2024
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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