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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376627783
Report Date: 05/03/2023
Date Signed: 05/03/2023 05:30:39 PM

Document Has Been Signed on 05/03/2023 05:30 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SANTOS, ILSE FAMILY CHILD CAREFACILITY NUMBER:
376627783
ADMINISTRATOR:ILSE SANTOSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 874-9327
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
05/03/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Ilse SantosTIME COMPLETED:
12:30 PM
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On 5/3/23 at 11:40pm, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced plan of correction inspection. Upon arrival, LPA met with Licensee, Ilse Santos and discussed the purpose of the inspection and was led on a tour of the facility. There were 12 children in care and licensee’s helper, Carolina Rivera present.

On 4/25/23 the licensee was cited one (1) Type A citation for operating over capacity. During today’s inspection, the facility was found to be operating within capacity limitations. LPA reviewed children’s files and found the LIC9224 Parent Acknowledgement form to be signed and in the files. The citation was cleared and Cleared POC Letter provided to licensee.

No deficiencies cited.

Exit interview conducted with Licensee, Ilse Santos. A notice of site visit was provided and must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2023
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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