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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628175
Report Date: 07/20/2023
Date Signed: 07/20/2023 10:54:40 AM

Document Has Been Signed on 07/20/2023 10:54 AM - 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:GONYA, JANELLEFACILITY NUMBER:
376628175
ADMINISTRATOR:GONYA, JANELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 776-0073
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
07/20/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Janelle Gonya TIME COMPLETED:
10:25 AM
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On July 20th, 2023 at 09:00 AM, Licensing Program Analyst (LPA) David Miller conducted a case management inspection. LPA advised the licensee, Janelle Gonya of the inspection’s purpose and was granted facility entry. Licensee provided LPA with a tour of the home.

During the tour of the facility, there were eight (8) children and 1 staff in the home. The daycare children consisted of one (1) infant, five (5) preschool age children, and two (2) school-age children



LPA verified criminal records clearance for all adults in the home.

No deficiencies cited.

Staff was provided with A Notice of Site Visit (LIC 9213), which is to be posted for thirty (30) days. An exit interview was conducted with the licensee, Janelle Gonya. Licensee/Appeal Rights (LIC 9098) along with a copy of this report was provided to the licensee, Janelle Gonya and their signature on this form confirms receipt of these rights.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023
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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