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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376626297
Report Date:
06/03/2024
Date Signed:
06/03/2024 02:27:19 PM
Document Has Been Signed on
06/03/2024 02:27 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 N. CC RO
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
HADE, ANAB FAMILY CHILD CARE
FACILITY NUMBER:
376626297
ADMINISTRATOR/
DIRECTOR:
ANAB HADE
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(619) 254-9853
CITY:
SAN DIEGO
STATE:
CA
ZIP CODE:
92115
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
DATE:
06/03/2024
TYPE OF VISIT:
Annual/Random
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:
TIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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SUPERVISORS NAME
:
Renesha Askew
LICENSING EVALUATOR NAME
:
Renita Rodriguez
LICENSING EVALUATOR SIGNATURE
:
DATE:
06/03/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/03/2024
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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