<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103910684
Report Date: 04/01/2021
Date Signed: 04/01/2021 12:28:39 PM

Document Has Been Signed on 04/01/2021 12:28 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:WENCE DE VACA, ANA FAMILY CHILD CAREFACILITY NUMBER:
103910684
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/01/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Ana Wence de VacaTIME COMPLETED:
12:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A planned second announced capacity increase inspection was conducted today by Licensing Program Analyst (LPA), Norma Lomeli. Met with Spanish-speaking Licensee, Ana Wence de Vaca. Present at the time of inspection was licensee, her husband, her assistant and her two minor daughters. The purpose of today's inspection is to verify that the correction requested was made.
  • LPA inspected the in-ground swimming pool meets Title 22 Regulations. Licensee installed a Waterwarden Pool safety net around the body of water. The pool net is anchored to the cemented surface. Licensee demonstrated that the pool net can sustain the weight of an adult by walking across the pool. Licensee understands that the pool safety net must barricade the body of water at all times while day care children are under her care and supervision.


Licensee states her hours of operation are Monday through Friday from 7:00 AM to 5:30 PM and as arranged. Licensee advised she does not provide overnight care, less than 24 hours. Licensee is advised she may access forms and updated information on the CCLD website at www.ccld.ca.gov.

The home meets the description of a safe and healthy environment for children as described in Chapter 3, Division 12, Title 22 of the California Code of Regulations and is adequate for a Large Family Day Care Home (LFDCH). Provisional licensure as a Large Family Day Care Home capacity of 14 children will be recommended effective April 2, 2021.

During exit interview, LPA observed licensee post the Notice of Site Visit on parent’s board and understands it must remain posted for 30 days and retain evaluation report for 3 years.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE: DATE: 04/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/01/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1