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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304310287
Report Date: 09/20/2024
Date Signed: 09/20/2024 01:43:17 PM

Document Has Been Signed on 09/20/2024 01:43 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:JEANBLANC, JESSICAFACILITY NUMBER:
304310287
ADMINISTRATOR/
DIRECTOR:		JEANBLANC, JESSICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 674-0158
CITY:BREASTATE: CAZIP CODE:
92821
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/20/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Licensee-Jessica JeanblancTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 9/20/2024 at 1:15PM LPA Navar conducted an on site inspection for the purpose of a 3 year annual. LPA met with Licensee Jessica Jeanblanc who stated she is not operating as a child care licensee and has not operated since July 31,2023.

LPA did not hear any children only the sound of barking dogs inside the house. Licensee wrote a note that stated she is requesting to no longer provide or operate as a home day-care as of 9/2024 and gave it to LPA Navar.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE: DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/20/2024
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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