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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629903
Report Date: 04/26/2024
Date Signed: 04/26/2024 04:40:07 PM

Document Has Been Signed on 04/26/2024 04:40 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:OROZCO, AMANDA FAMILY CHILD CAREFACILITY NUMBER:
376629903
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
04/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Amada OrozcoTIME VISIT/
INSPECTION COMPLETED:
04:40 PM
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On 4/26/24 at 3:30pm, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced case management inspection. LPA met with licensee Amanda Orozco to discuss the purpose of the inspection and toured the facility.

Licensee recently submitted an application for a large license. Licensee held a large license at her previous residence. Fire inspection was conducted on 4/19/24.

A large license capacity 14 will be issued upon a final file review.

Exit interview was conducted, report reviewed, and Appeal Rights discussed with licensee. A Notice of Site Visit was given and must remain posted on, or immediately next to, interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2024
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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