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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625498
Report Date: 03/29/2023
Date Signed: 03/29/2023 02:30:19 PM

Document Has Been Signed on 03/29/2023 02:30 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:TORRES, ANA FAMILY CHILD CAREFACILITY NUMBER:
376625498
ADMINISTRATOR:ANA TORRESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 259-2832
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
03/29/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Ana TorresTIME COMPLETED:
02:30 PM
NARRATIVE
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On 3/29/23 at 1:45pm, LPM Cynthia Gray and LPA Adrian Castellon conducted a case management - legal/non compliance inspection. LPM Gray and LPA Castellon met with licensee Ana Torres and her husband Benjamin Torres and discussed the purpose of the inspection. LPM Gray and LPA Castellon toured the facility. There were 0 daycare children present.

LPM Gray and LPA Castellon served Accusation #7722213101 and # 7722213101-B, Statement to Respondents, Notice to Respondent and/or Attorney of Record, Request for Discovery, and Notice of Defense on this date. Documents were served to licensee Torres.

During the inspection, Licensee Torres informed LPA Castellon and LPM Gray that Licensee emailed the licensing office on 2/28/23, informing the Department that 3/9/23 would be the final day that the facility would be in operation. Licensee forwarded that email to LPA Castellon during the inspection.

An exit interview was conducted with licensee in Spanish, and a copy of this report was provided to licensee.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/29/2023
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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