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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 445200907
Report Date: 02/12/2025
Date Signed: 02/21/2025 03:12:53 PM

Document Has Been Signed on 02/21/2025 03:12 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
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME:APTOS HILLS RANCHFACILITY NUMBER:
445200907
ADMINISTRATOR/
DIRECTOR:		SANCHEZ, DEBI & BILLFACILITY TYPE:
735
ADDRESS:133 BROWNS VALLEY ROADTELEPHONE:
(831) 768-1698
CITY:CORRALITOSSTATE: CAZIP CODE:
95076
CAPACITY: 6CENSUS: 6DATE:
02/12/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Bill SanchezTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year Visit and met with Administrator Bill Sanchez.

During visit, LPA toured the facility inside and out. LPA toured the kitchen area and food storage areas. LPA observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA reviewed the first aid kit and found it to be complete.

LPA toured the hallways and four out of four bedrooms. Each bedroom had working lights and available bedding and clothing storage areas. LPA tested the smoke detectors in each bedroom and in the hallway and living room and all the smoke detectors functioned properly when tested. LPA tested one out of one carbon monoxide detector and it functioned properly when tested.

LPA toured two out of two resident bathrooms. Each bathroom had working lights and available soap and paper towels. The water temperature in the bathroom sinks measured at 118 F and 115 F.

LPA toured the outside area and found the outdoor exit to be clear of obstructions.

LPA reviewed 6 out of 6 resident records, Personal and Incidental Money Logs, and Centrally Stored Medication and Destruction Logs and found them all to be complete. LPA reviewed four staff records and found them to be complete.

No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Bill Sanchez and a copy of this report was provided.
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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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