376623001-2-7-2025-51-CC-MMOI-DDNPWQ-20250207104107

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376623001
Report Date: 02/07/2025
Date Signed: 02/07/2025 10:41:20 AM

COMPREHENSIVE INSPECTION

Document Has Been Signed on 02/07/2025 10:41 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:	CARRILLO, SANDRA FAMILY CHILD CARE		FACILITY NUMBER:	376623001
ADMINISTRATOR/ DIRECTOR:	SANDRA CARRILLO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(858) 215-0371
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92129
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 1	DATE:	02/07/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:15 AM
MET WITH:	Sandra Carillo		TIME VISIT/ INSPECTION COMPLETED:	11:00 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 02/07/2025 at 08:15 Licensing Program Analyst (LPA) Mahjoba Mohsini conducted an unannounced inspection with the Licensee. LPA identified self, disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Present in the home were: the Licensee, Licensee's husband Enrique Carillo and one day care child. The two story home and one garage was toured and inspected to ensure an environment safe for the care and supervision of children. Licensee accompanied LPA inside and out of the facility during this inspection. The fire extinguisher (mounted by breakfast island), carbon monoxide detector (wall in hallway), smoke detector (ceiling in hallway) meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water on the property. Licensee states that there are no weapons in the home. No additional staff. First Aid and CPR certification w/A-B-Cpr expires on 1/4/2026. Licensee has required immunizations, including updated Flu immunizations. Licensee completed Mandated Reporter Training on 1/4/2024. Children’s records were reviewed and found to be in order. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include: Living room, Dining room, Kitchen , Family room, Bathroom #1 and Backyard. Off limits areas include garage, laundry room and entire 2nd floor and are inaccessible through use of door locks and safety gates. The licensee has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities. Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in the home have criminal background clearances to avoid civil penalties associated with this requirement; corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome.

Joelle Redding	TELEPHONE: (619) 767-2249
Mahjoba Mohsini	TELEPHONE: 619-782-8300
	DATE: 02/07/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025

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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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: CARRILLO, SANDRA FAMILY CHILD CARE	FACILITY NUMBER: 376623001
	VISIT DATE: 02/07/2025

NARRATIVE

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LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.
LPA discussed and provided Licensee with the following: child care advocates-email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

Incidental Medical services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Applicant, was informed of the MyChildCarePlan.org site, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

Exit interview conducted and report was reviewed with the applicant Sandra Carillo. No deficiencies cited,

SUPERVISOR'S NAME: Joelle Redding	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Mahjoba Mohsini	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025

LIC809 (FAS) - (06/04)

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