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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444416037
Report Date: 06/13/2024
Date Signed: 06/13/2024 03:34:34 PM

Document Has Been Signed on 06/13/2024 03:34 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:CASTILLO, ANGELICAFACILITY NUMBER:
444416037
ADMINISTRATOR/
DIRECTOR:		ANGELICA CASTILLOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 707-9313
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
06/13/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Angelica CastilloTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Teodoro Trujillo conducted a Plan of Correction inspection. LPA met with Licensee, Angelica Castillo. LPA toured the facility. Licensee was present in the home with 2 daycare children: 1 infant and 1 preschool age. Licensee was cited on 05/15/2024.

Type A and Type B deficiencies cited on 05/15/24 have been cleared.

No Deficiencies were cited during today's visit.

Exit interview conducted and report was reviewed with the licensee Angelica Castillo.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100..
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Teodoro Trujillo
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
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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