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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376620828
Report Date: 01/13/2025
Date Signed: 01/13/2025 12:01:55 PM

Document Has Been Signed on 01/13/2025 12:01 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 CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CANALES, ANA FAMILY CHILD CAREFACILITY NUMBER:
376620828
ADMINISTRATOR/
DIRECTOR:
CNALES DE LEON, ANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 726-4803
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
01/13/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Licensee, Ana CanalesTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 01/13/2025 at 9:30 am, Licensing Program Analyst (LPA), Shannan Williams conducted an unannounced case management inspection visit and met with Licensee, Ana Canales. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. There were five (5) children present in the facility during this inspection. The licensee accompanied LPA inside of the facility during this inspection. The off-limits areas are inaccessible using door locks, gates and doorknob covers. Per the licensee the operating hours are Monday through Sunday 24/7. The licensee is informed that no more than 23 hours consecutively per day care child.

LPA interviewed staff, children and Licensee, took necessary images and obtained facility roster.

No deficiencies were cited in today's visit.

An exit interview was conducted, and the report was reviewed with the licensee, Ana Canales. The licensee was provided with a copy of their appeal rights (LIC 9058 03/22) and their signature on this form acknowledges receipt of these rights. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.




SUPERVISORS NAME: Cynthia Biszant
LICENSING EVALUATOR NAME: Shannan Williams
LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2025
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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