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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101528
Report Date: 07/09/2024
Date Signed: 09/04/2024 04:35:10 PM

Document Has Been Signed on 09/04/2024 04:35 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 NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ESPINOSA, LEONIE FAMILY CHILD CAREFACILITY NUMBER:
376101528
ADMINISTRATOR/
DIRECTOR:		LEONIE ESPINOSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 435-9372
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
07/09/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:20 PM
MET WITH:Leonie EspinosaTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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THIS IS AN AMENDED REPORT DELIVERED ON SEPTEMBER 4, 2024

On July 9, 2024, 3:10 PM, Licensing Program Analyst (LPA), Sherlynn Banas conducted an unannounced case management inspection to deliver the findings for the complaint received on June 5, 2024. The complaint findings were delivered on July 9, 2024, not July 3, 2024, as written in the Complaint Investigation Report (LIC9099). LPA was greeted by licensee and was granted entry after identifying herself and disclosing the reason for her visit. There were 10 children present at the time of inspection.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE: DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/04/2024
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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