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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376620388
Report Date: 05/25/2023
Date Signed: 05/25/2023 02:03:21 PM

Document Has Been Signed on 05/25/2023 02:03 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:PAZ, JOANNE FAMILY CHILD CAREFACILITY NUMBER:
376620388
ADMINISTRATOR:JOANNE PAZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 755-7187
CITY:SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
05/25/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Joanne PazTIME COMPLETED:
02:15 PM
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On May 25, 2023 at 1:30 p.m. Licensing Program Analyst's (LPA's), Leilani Curtis and Sherlynn Banas arrived at the facility to conduct an unannounced Annual Inspection. LPA's met with Licensee Joanne Paz. There were no children in care. Licensee states that the last time children were in care was on 05/27/2022. Licensee states that she has permanently closed and no longer operates a family child care. Licensee provided a written statement to LPA's confirming that she has closed. LPA's advised Licensee that the facility will be closed in the Licensing Information System effective today, 5/25/23. LPA's also advised Licensee that the facility has outstanding fees that will need to be paid.

No deficiencies cited.

An exit interview was conducted, and this report was reviewed with Licensee. Appeal Rights (LIC 9058) were provided. The licensee's signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM was provided.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE: DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/25/2023
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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