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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629124
Report Date: 06/05/2026
Date Signed: 06/05/2026 12:33:23 PM

Document Has Been Signed on 06/05/2026 12:33 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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:PAYANT, VANESSA FAMILY CHILD CAREFACILITY NUMBER:
376629124
ADMINISTRATOR/
DIRECTOR:		VANESSA PAYANTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(203) 212-2695
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
06/05/2026
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:07 AM
MET WITH:Vanessa PayantTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
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On June 5, 2026 at 11:07 a.m., an office meeting was held at San Diego Child Care Regional Office to discuss the deficiency and civil penalty assessed on March 12, 2026. In attendance was Licensee, Vanessa Payant, Licensee's husband, Pikenson Conserve; Licensing Program Manager (LPM), Tulam Vu and Licensing Program Analyst (LPA), Angela Nguyen. Licensee stated that her primary language is Haitian Creole. Licensee stated that language services were not needed and declined the service.

During this meeting, the following Health and Safety Code & California Code of Regulations were reviewed to ensure a thorough understanding:

· Health and Safety Code 1596.78(a) “Family Day Care Home" means a home that regularly provides care, protection, and supervision for 14 or fewer children, in the provider’s own home, for periods of less than 24 hours per day, while the parents or guardians are away, and is either a large family day care home or a small family day care home.



· CCR 102417(a) Operation of a Family Child Care Home: The licensee shall be present in the home and shall ensure that children in care are supervised at all times.

· CCR 102416.2 (a)(2) Reporting Requirement: Any change in household composition including adults moving in or out of the home and anyone living in the home who reaches his or her 18th birthday.

· CCR 102416.5 Staffing Ratio and Capacity(d): For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home,
NAME OF LICENSING PROGRAM MANAGER: Tulam Vu
NAME OF LICENSING PROGRAM ANALYST: Angela Nguyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: PAYANT, VANESSA FAMILY CHILD CARE
FACILITY NUMBER: 376629124
VISIT DATE: 06/05/2026
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including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (2)More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met.

On February 26, 2026, during the case management inspection, a type B deficiency, California code of Regulation section 101417(o)(2) was cited due to the licensee did not provide proof of control of property.


(o)The licensee shall maintain documentation of proof of control of property... for review.... (2)...the licensee is operating on rented or leased property, "proof of control of property" is a copy of the rental agreement or lease.

Technical Support Program (TSP) services and training opportunities were reviewed with the Licensee who was advised to register for Provider Information Notifications (PINs).

Licensee, Vanessa Payant was informed that repeated violations or failure to comply with licensing laws and regulations may result in administrative action taken by the Department. Licensee acknowledged the deficiency and affirmed her commitment to maintaining full compliance with all applicable laws and regulations.

Please submit any Unusual Incident Reports by email to: SDIncidentReports@dss.ca.gov and the Duty Line 619-767-2248.

A copy of the regulations and PIN 26-03-CCP was provided to the licensee.

This report was reviewed and a copy was provided to the licensee, Vanessa Payant.
NAME OF LICENSING PROGRAM MANAGER: Tulam Vu
NAME OF LICENSING PROGRAM ANALYST: Angela Nguyen
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2026
LIC809 (FAS) - (06/04)
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