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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100691
Report Date: 05/10/2023
Date Signed: 05/10/2023 03:37:42 PM

Document Has Been Signed on 05/10/2023 03:37 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:YANEZ, SYLVIA FAMILY CHILD CAREFACILITY NUMBER:
376100691
ADMINISTRATOR:SYLVIA YANEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 245-9831
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
05/10/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Licensee Sylvia YanezTIME COMPLETED:
03:45 PM
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On 5/10/23 at 3:15 p.m., Licensing Program Analyst (LPA), Joelle Redding, made an unannounced visit for the purpose of an Annual Inspection. During this visit, there was one child in care under the age of two years with Licensee and her mother. Licensee was feeling under the weather today and may be considering inactive status. The child in care is also feeling under the weather and his parent is en route to pick up the child. Licensee currently has just two siblings from one family enrolled. The other child was at school today and will not be attending. The facility is within ratio and capacity.

Due to Licensee and child's state of health today, LPA will complete this visit at a later date.

NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 05/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/10/2023
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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