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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600278
Report Date: 11/12/2019
Date Signed: 11/12/2019 05:52:38 PM

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:MAAC GOSNELLFACILITY NUMBER:
376600278
ADMINISTRATOR:CLARIBEL ZORRILLAFACILITY TYPE:
850
ADDRESS:139 GOSNELL WAYTELEPHONE:
(760) 736-3066
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY:118CENSUS: 70DATE:
11/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Claribel Zorrilla, DirectorTIME COMPLETED:
03:59 PM
NARRATIVE
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Licensing Program Analyst’s (LPA’s) Leilani Curtis and Selina Siao visited the facility for the purpose of conducting an annual random inspection. Upon arrival LPA's met with the director Claribel Zorrilla and proceeded to tour the facility. Also present were a total of 70 children in the following classrooms:

· classroom 1: 14 children with staff members Floriselda Ramirez and Elvia Morales
· classroom 2: 16 children with staff members Marilyn Contreras and Liliana Torres
· classroom 4a: 6 children with staff members Luz Gomez and Elianna Asaeli
· classroom 4b: 6 children with staff members Liseth Medina Lozano and Dulce Reyes
· classroom 5: 12 children with staff members Rebecca Santos and Carmen Torres
· classroom 7: 16 children with staff members Isabel Perez and Mayra Chavez

Appropriate ratios and capacity were observed. Furniture, toys and equipment are age appropriate and in good condition indoors and outdoors. Children's toilets and hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food and beverages are stored in covered containers and storage containers for solid waste are covered. Drinking water is readily accessible inside and outside the classroom. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children through latches and locks. Storage area for poisons is locked. Outdoor play area is fenced. The area beneath the play structure slide needs additional wood chips. The outdoor play area has trees used for shade. There are no bodies of water or weapons at this facility. No excluded individuals are present. Fire drills are being conducted every 6 months. A review of staff records indicates that 4 out of 12 staff members have not completed Mandated Child Abuse Reporting-per AB1207. The facility does not contain an operational carbon monoxide detector. The Director states that all of the appliances in the facility use electricity and not gas. First Aid/CPR was reviewed and is in compliance. Sign in/sign out sheets are well maintained. Admission Agreement forms reviewed for some children. Staff records contain documentation of education, training, and/or experience.


SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MAAC GOSNELL
FACILITY NUMBER: 376600278
VISIT DATE: 11/12/2019
NARRATIVE
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 The immunization law, SB792 was discussed with the Director. Ms. Zorrilla understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. LPA's reviewed staff immunization records and they are in compliance. Menus are posted. LPA's reviewed the following with Claribel Zorrilla, reporting requirements, Car seat Law, Effects of Lead Exposure, Best Practices for Supervision, Healthy Beverages in Child Care, Prevent Drowning and Community Care Licensing's Quarterly Updates . LPA's obtained updated Personnel Report and Child Roster.

This facility provides Incidental Medical Services – IMS. LPA's reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

See LIC809D for cited deficiencies. The Director, Claribel Zorrilla was provided a copy of her appeal rights (LIC 9058 01/16) and her signature on this form acknowledges receipt of these rights.



To access our Regulation and Forms please use our WEBSITE: http://ccld.ca.gov.
Facility representatives can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on Child Care, go under Quick Links and Quarterly Updates, click on “Receive Important Updates” then enter your email address and choose which program(s) you would like to subscribe to and click “subscribe”. The Duty Line was provided: (619) 767-2248. LPA also discussed California Megan's Law and LPA provided Director with the following website: www.meganslaw.ca.gov

NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA's observed the Director post notice of site visit.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: MAAC GOSNELL
FACILITY NUMBER: 376600278
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/12/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/13/2019
Section Cited

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Carbon monoxide detectors required; inspection: Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement was not met as evidenced by:
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Based on LPA's observation and the Director's statement the facility did not have an operational carbon monoxide detector at the time of inspection. This poses a potential health and safety risk to children in are.
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Type B
11/26/2019
Section Cited

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Outdoor Activity Space: As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls. This requirement was not met as evidenced by:
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Based on LPA's observation the wood chips located below the play structure slide is low and insufficient. This poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 11/12/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/12/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: MAAC GOSNELL
FACILITY NUMBER: 376600278
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/12/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/26/2019
Section Cited

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A person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years...This requirement was not met as evidenced by:
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Based on LPA's facility record review the Director did not have 4 out of 12 Mandated Reporter training completion certificates available for review. This poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 11/12/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/12/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4