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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376616984
Report Date: 06/19/2025
Date Signed: 06/20/2025 11:09:17 AM

Document Has Been Signed on 06/20/2025 11:09 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SANDOVAL, IRMA FAMILY CHILD CAREFACILITY NUMBER:
376616984
ADMINISTRATOR/
DIRECTOR:		IRMA SANDOVALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 296-7446
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
06/19/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Irma SandovalTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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On June 19, 2025 at 9:30a, Licensing Program Analysts (LPAs) Hector Canton and Sharon Mendez arrived unannounced at the licensed Family Child Care Home operated by Irma Sandoval to conduct the required annual inspection. LPA identified themselves, stated the purpose of the visit, and was granted entry. Present during today’s inspection were no day care children.

The one story 3 bed 2 bathroom single family home was toured in its entirety to evaluate compliance with Title 22 regulations and to ensure the health and safety of children in care. The child care areas include the living room, kitchen, backyard, and bathroom 1. Areas made off-limits include garage, bedroom 1, bedroom 2, bedroom 3, and bathroom 2, and were made inaccessible through the use of baby gates and door handle covers. Adequate heating, lighting, and ventilation were observed throughout the licensed areas of the home. The licensee maintained the home in a clean and orderly condition. A working telephone was available for use in case of emergency.

Age-appropriate toys, furnishings, and play equipment were observed to be in good condition and free of observable hazards. LPAs did not observe any bodies of water on the premises. The licensee confirmed that no firearms or other weapons are kept in the home. Detergents, cleaning compounds, medications, and other potentially hazardous items were stored inaccessible to children in locked cabinets and stored in off-limit areas. LPAs observed the fire extinguisher to be fully charged and operational. Smoke detectors and carbon monoxide detectors were tested and found to be operable at the time of inspection. Emergency exit routes were clear of obstructions.

continued on LIC 809-C (page 2)

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Hector Canton
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SANDOVAL, IRMA FAMILY CHILD CARE
FACILITY NUMBER: 376616984
VISIT DATE: 06/19/2025
NARRATIVE
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Outdoor space used for child care was inspected and found to be fenced and free of hazards. The licensee understands that supervision is required at all times when children are outdoors. A designated isolation area is available should a child become ill during the day. There were no jumpers or other prohibited equipment observed. LPA observed all equipment was used as intended by the manufacturer.

Children’s records were reviewed. LPAs verified that emergency contact information, immunization records, and required notices were available and complete. A current facility roster was maintained and provided upon request. The licensee maintains documentation of emergency disaster drills, and the most recent drill was conducted on April 15, 2025. All required postings, including the facility license and parents’ rights notification, were observed in a location accessible to parents and guardians.

LPA reviewed staff and adult resident records. All adults living or working in the home have been fingerprint-cleared and associated to the facility. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

The licensee’s Pediatric CPR and First Aid certification was valid through February 28, 2027 and meets the Emergency Medical Services Authority (EMSA) standards. The licensee completed the required Mandated Reporter Training on March 26, 2025, and understands that the training must be renewed every two years. LPA verified that the licensee and all assistants have met immunization requirements.

LPAs conducted a review of safe sleep practices. The licensee confirmed that infants are actively supervised while sleeping and that a 15-minute sleep log is maintained and available for review. LPA verified that no infants were under 12 months of age. LPA reviewed this documentation and found it to be complete. Car seats were not used for sleeping purposes and were only used for transportation.

continued on LIC 809-C (page 3)

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Hector Canton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SANDOVAL, IRMA FAMILY CHILD CARE
FACILITY NUMBER: 376616984
VISIT DATE: 06/19/2025
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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

The facility currently does not provide Incidental Medical Services (IMS). LPA discussed the IMS policy and explained that when IMS is provided, a Plan for Providing IMS must be submitted to the Department. The licensee was provided with guidance available in Provider Information Notice PIN 22-02-CCP. Additional ADA resources were discussed, including the U.S. Department of Justice ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY), and the publication “Commonly Asked Questions About Child Care Centers and the ADA,” which is available online at https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. LPA also provided the licensee with the Child Care Advocates Program contact email at childcareadvocatesprogram@dss.ca.gov, and advised the licensee that questions regarding licensing requirements may be directed to the Child Care Duty Line at (619) 767-2248.

No violations were observed during the inspection. The facility was found to be operating in substantial compliance with Title 22 regulations governing Family Child Care Homes.

An exit interview was conducted with the licensee, and this report was reviewed in its entirety. A copy of the report was provided. Appeal rights were also reviewed and issued. A Notice of Site Visit was issued and must remain posted for 30 consecutive days. The licensee, Irma Sandoval, confirmed that there are no registered sex offenders residing at the facility address, and LPA completed the Registered Sex Offender (RSO) profile in FAS.

If there are any questions about this inspection, the licensee may send inquiries to inspectionprocess@dss.ca.gov. Additional information about the inspection process and available tools can be found at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Hector Canton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4