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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004102
Report Date: 06/18/2021
Date Signed: 07/01/2021 02:10:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LITTLE SUN, LLCFACILITY NUMBER:
384004102
ADMINISTRATOR:BADALYAN, VIKTORYAFACILITY TYPE:
850
ADDRESS:321 JUDAH STREETTELEPHONE:
(415) 509-8962
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94122
CAPACITY:24CENSUS: 0DATE:
06/18/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:TIME COMPLETED:
02:00 PM
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An Attempted Visit was conducted today by Licensing Program Analyst (LPA) Ly. Provider's husband answered the door. Per Provider's husband, provider is out of the country and will return the end of the month. LPA had a quick glance of the facility and observed facility does not have any children in care.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie LyTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021
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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