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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376300018
Report Date:
10/07/2021
Date Signed:
10/07/2021 02:53:55 PM
Document Has Been Signed on
10/07/2021 02:53 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
,
3737 MAIN STREET, STE 700
RIVERSIDE
,
CA
92501
FACILITY NAME:
SANCHEZ FAMILY CHILD CARE
FACILITY NUMBER:
376300018
ADMINISTRATOR:
SANCHEZ,ALFONSO&SANCHEZ,BR
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(760) 994-8790
CITY:
OCEANSIDE
STATE:
CA
ZIP CODE:
92054
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
6
DATE:
10/07/2021
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
01:06 PM
MET WITH:
Licensee-Alfonso Sanchez
TIME COMPLETED:
03:07 PM
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LPA arrived at the facility to conduct an annual inspection. Due to time constraints. Annual review will be continued and completed upon next visit.
SUPERVISORS NAME
:
Pauline Beschorner
LICENSING EVALUATOR NAME
:
Otsanya Cameron
LICENSING EVALUATOR SIGNATURE
:
DATE:
10/07/2021
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/07/2021
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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