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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629141
Report Date: 03/10/2023
Date Signed: 03/13/2023 01:19:21 PM

Document Has Been Signed on 03/13/2023 01:19 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MIRANDA, CHERISH AND ESPINOZA, APRIL FAMILY CHILDFACILITY NUMBER:
376629141
ADMINISTRATOR:CHERISH MIRANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 646-9922
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
03/10/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:April EspinozaTIME COMPLETED:
01:00 PM
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On 3/10/23; at 11:45am, LPA Castellon conducted a case management inspection. LPA Castellon met with licensees Espinoza and Mitranda and discussed the purpose of the inspection.

LPA Castellon inspected a newly constructed living space located past the kitchen. The space is properly permitted per city of Chula Vista requirements.

Licensee will send pictures once the space is fully furnished. Licensee will continue to use the original licensed spaces.

Space will be allowed to be used once pictures are submitted and reviewed.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2023
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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