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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434403246
Report Date: 04/11/2023
Date Signed: 04/11/2023 03:08:39 PM

Document Has Been Signed on 04/11/2023 03:08 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SANCHEZ, OLGA & LUISFACILITY NUMBER:
434403246
ADMINISTRATOR:SANCHEZ, OLGA & LUISFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 229-8636
CITY:SAN JOSESTATE: CAZIP CODE:
95111
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 4DATE:
04/11/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Olga and Luis SanchezTIME COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA) Deanna Villagrana met with licensee Olga and Luis Sanchez for a Plan of Correction visit. LPA explained the reason for the visit. Present were licensees, licensee's assistant Martha Reina Macias, Martha's 17 year old daughter and four day care children.

LPA conducted a visit on 03/16/2023 and did not receive all of licensee's corrections. Martha Reina Macias did not complete Mandated Reporter training. LPA observed licensee's and assistant did not have immunization against measles. A civil penalty is being assessed for failure to correct deficiencies. LPA observed licensee's ceased using off limits bedroom and bathroom in the garage. LPA observed Notice of Site posted for report dated 03/16/2023.

No deficiency was cited.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2023
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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