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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603485
Report Date: 09/26/2024
Date Signed: 09/26/2024 12:03:30 PM

Document Has Been Signed on 09/26/2024 12:03 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:
09/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:48 AM
MET WITH:Rich EnriquezTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced case management visit to deliver an amended report for a complaint visit conducted on 9/25/24. LPA was greeted by, identified herself to, and discussed the purpose of the visit with Licensee Rich Enriquez.

During today's visit, LPA obtained Rich Enriquez's signature on the amended Complaint visit - LIC9099.

An exit interview was conducted with Licensee Rich Enriquez to whom a copy of this report and the Licensee Appeal Rights were provided via hard copy.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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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