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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334817354
Report Date: 03/17/2021
Date Signed: 03/17/2021 02:47:42 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MARMOLEJO FAMILY CHILD CAREFACILITY NUMBER:
334817354
ADMINISTRATOR:MARMOLEJO, DIANA/DANIELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 398-3633
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: 7DATE:
03/17/2021
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
02:12 PM
MET WITH:Diana MarmolejoTIME COMPLETED:
02:50 PM
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***Please note: Due to COVID-19, a tele-inspection is being conducted in lieu of an in-person/physical inspection***

On 3/17/2021, Licensing Program Analyst (LPA) Samuel Lopez conducted a Case Management tele-inspection, via FaceTime, with Licensee Diana Marmolejo. Previously, on 1/28/2020, Diana was notified of a Confirmation of Removal regarding her daughter Clarissa Marmolejo. She was also informed that a Criminal Record Exemption would be needed prior to allowing her daughter back at the home/facility. The purpose of the tele-inspection is to discuss a Decision and Order issued, regarding the licensee's daughter Clarissa Marmolejo's criminal record exemption, and verify receipt of that order. .

The Decision and Order reads as follows:

"The request of respondent, Clarisa Marmolejo, for a criminal record exemption is denied. Respondent is prohibited from employment in, presence in, and from contact with clients of, any facility licensed by the Department, or certified by a licensed foster family agency and from holding the position of member of the board of directors, executive director, or officer of the licensee of any licensed facility by the Department, until respondent obtains a criminal record exemption."

The Decision and Order became effective as of February 26, 2021.

The licensee, Diana Marmolejo, verified receipt of the Decision and Order, and understanding of its contents.

An exit interview was conducted and a copy of this report was sent, via email, to Diana Marmolejo.

A copy of this report must be made available to the public, at the facility site, for 3 years.

SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MARMOLEJO FAMILY CHILD CARE
FACILITY NUMBER: 334817354
VISIT DATE: 03/17/2021
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***This report was sent via email on 3/17/2021. Diana agreed to reply or to acknowledge that she has received it, via read receipt. This will serve as Diana's signature***
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2021
LIC809 (FAS) - (06/04)
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