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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600278
Report Date: 04/07/2022
Date Signed: 04/07/2022 05:11:46 PM


Document Has Been Signed on 04/07/2022 05:11 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:MAAC GOSNELLFACILITY NUMBER:
376600278
ADMINISTRATOR:CLARIBEL ZORRILLAFACILITY TYPE:
850
ADDRESS:139 GOSNELL WAYTELEPHONE:
(760) 736-3066
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY:112CENSUS: 44DATE:
04/07/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Linda Hernandez, Area ManagerTIME COMPLETED:
02:59 PM
NARRATIVE
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On April 7, 2022 at 1:45 p.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced case management inspection in reference to the Licensee’s request to use the front patio as a temporary playground while the facility playground is being remodeled. Upon arrival LPA met with Area Manager Linda Hernandez and Mariela Resendiz Ochoa and proceeded to tour the facility to ensure that it is safe for the care and supervision of children. Also present were 13 staff with 44 children. Appropriate capacity and ratio were observed. Two staff members (substitutes), Luz Jimenez and Manijeh Rahmati are fingerprint cleared but not associated to the facility. Both staff members have been working at the facility since 4/4/22. The substitutes were provided to the facility by "A Plus Subs".

The area manager states that the construction on the existing playground will take 12 to 16 weeks to complete. The preschool children in classrooms 1, 2, 3, 5, 6 and 7 will use the front patio as a playground on a scheduled rotating basis until construction is completed. During construction the children will be kept safe from debris by hazard fencing installed by the construction company and mesh fencing installed by the facility. The area director understands that the remodeled playground will not be used until it has been inspected and approved by Community Care Licensing.

During today’s inspection LPA measured the front patio. The patio is 2,314.35 sq. ft. and will accommodate 30 preschool children.

Please see LIC809D for cited deficiency.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2022
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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MAAC GOSNELL
FACILITY NUMBER: 376600278
VISIT DATE: 04/07/2022
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Prior to licensure the following correction must be made:
  • Licensee will install a fence at least 48 inches high to separate the temporary preschool playground from the temporary infant center playground. The facility will also install umbrella's to be used for shade on the patio.

  • A waiver request for the outdoor patio/play area must be submitted and approved. The waiver request will include the class playground schedule.

An exit interview was conducted with Area Manager Hernandez and appeal rights (LIC 9058 1/16) were discussed. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the area manager post notice of site visit.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3
Document Has Been Signed on 04/07/2022 05:11 PM - It Cannot Be Edited

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: 04/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/08/2022
Section Cited

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101170(e)(2) Criminal Record Clearance:(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 101170(f)...This requirement was not met as evidenced by:
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Based on record review and interview with Area Manager Linda Hernandez, substitute staff Luz Jimenez and Manijeh Rahmati are fingerprint cleared but not associated to the facility. They have been working at the facility since 4/4/22. 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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2022
LIC809 (FAS) - (06/04)
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