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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503908950
Report Date: 02/10/2025
Date Signed: 02/10/2025 12:31:18 PM

Document Has Been Signed on 02/10/2025 12:31 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:VILLA, ANA FAMILY CHILD CAREFACILITY NUMBER:
503908950
ADMINISTRATOR/
DIRECTOR:		VILLA, ANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 505-3547
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/10/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Ana VillaTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 02/10/2025, Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced inspection at the daycare home and met with Licensee Ana Villa and her husband. The licensee stated she no longer provides child care and surrendered her license (LIC203A), effective immediately. She provided a written statement and handed the license to LPA. LPA will proceed with the facility's permanent closure.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2025
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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