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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004118
Report Date: 06/05/2024
Date Signed: 06/05/2024 04:58:47 PM

Document Has Been Signed on 06/05/2024 04:58 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 BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MORALES NOVA, GLORIAFACILITY NUMBER:
384004118
ADMINISTRATOR/
DIRECTOR:		MORALES NOVA, GLORIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 583-6450
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
06/05/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Gloria Morales NovaTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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Licensing Program Analyst, LPA conducted a follow-up visit today. Licensee, Gloria opened the door. She said she was not feeling well. LPA did not go in. Another follow-up visit will be conducted.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2024
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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