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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 485407994
Report Date: 02/18/2025
Date Signed: 02/18/2025 04:59:21 PM

Document Has Been Signed on 02/18/2025 04:59 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:VALDEZ-SANCHEZ FAMILY CHILD CARE HOMEFACILITY NUMBER:
485407994
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 3CENSUS: 6DATE:
02/18/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:40 PM
MET WITH:Licensee Paty Valdez-SanchezTIME VISIT/
INSPECTION COMPLETED:
05:10 PM
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Licensing Program Analyst ( LPA) Elpidia Hernandez Torres, arrived to conduct a plan of correction visit and to provide technical assistance with other questions licensee might have. Licensee was previously issued two type B deficiencies on 01/16/2025 for children's records and infant safe sleep.

LPA reviewed children's records all three children enrolled had files mostly complete. Two infants were still missing sleep logs, but infant under 12 months had sleep logs on file. One child was still missing LIC 995A. All children had immunization required for their age on blue CDPH 286 form. Infant under 12 months also had LIC 9227 filled out and on file.

Licensee reported she had been reached out to by TSP, Spanish speaking analyst, but did not keep phone number or contact information for them, nor did she receive an email from them. LPA Hernandez Torres doesn't know who the TSP Spanish speaking analyst is, but will try to gather more information to see if the TSP analyst can re-connect with licensee.

Licensee had additional questions regarding submitting application for a Large FCCH. LPA provided additional assistance in the required documentation and the process for that as well as having an additional employee.

Deficiencies issued on 01/16/2025 are now cleared. No deficiencies were issued during todays visit.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 02/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/18/2025
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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