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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603485
Report Date: 05/28/2024
Date Signed: 05/28/2024 05:28:30 PM

Document Has Been Signed on 05/28/2024 05:28 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 RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:VILLA SAN FRANCISCOFACILITY NUMBER:
374603485
ADMINISTRATOR/
DIRECTOR:		ELIZABETH ENRIQUEZFACILITY TYPE:
735
ADDRESS:734 RIVERLAWN AVETELEPHONE:
(619) 500-5356
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 4CENSUS: 4DATE:
05/28/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:54 PM
MET WITH:Licensee, Ricardo Enriquez and Administrator, Elizabeth EnriquezTIME VISIT/
INSPECTION COMPLETED:
05:40 PM
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Licensing Program Manager (LPM) Lizzette Tellez and Licensing Program Analyst (LPA) Juliana Barfield conducted an unannounced case management visit to deliver an amended report. LPM and LPA introduced themselves, were granted entry into the facility, and met with Licensee Ricardo Enriquez, and Administrator, Elizabeth Enriquez, to whom the LPA disclosed the purpose of the visit.

During the visit, LPA delivered an amended version of a report and obtained signatures.

An exit interview was conducted with Mr. Enriquez and copies of this report and Licensee Rights (LIC 9058 01/16) were provided at the conclusion of the visit. Their signature on this form acknowledges receipt of the rights and a copy of this report.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Juliana Barfield
LICENSING EVALUATOR SIGNATURE: DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2024
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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