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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100043
Report Date: 01/17/2024
Date Signed: 01/17/2024 02:32:39 PM

Document Has Been Signed on 01/17/2024 02:32 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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MARTINS, JASON FAMILY CHILD CAREFACILITY NUMBER:
376100043
ADMINISTRATOR:JASON MARTINSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 705-4160
CITY:SAN DIEGOSTATE: CAZIP CODE:
92127
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 2DATE:
01/17/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Jason MartinsTIME COMPLETED:
02:40 PM
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On 01/17/2024 at 2:10pm, Licensing Program Analyst (LPA) Selina Siao conducted an unannounced inspection to follow up with licensee regarding the status of the day care. Upon arrival, LPA met with licensee who is at the facility with his wife Luani Martins aka Chagas and three of their own children who were in the bedroom napping. No day care children are observed today. The home is no longer set up like a day care and licensee stated that he has found another job and gave his child care license to LPA during the inspection.

LPA will closed the facility effective today.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024
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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