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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376623979
Report Date: 07/23/2019
Date Signed: 07/23/2019 11:33:04 AM

COMPREHENSIVE INSPECTION
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:RIVERO, MACLOVIA & MAGANA, EDUARDO FCCFACILITY NUMBER:
376623979
ADMINISTRATOR:RIVERO, MACLOVIA & EDUARDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 920-4860
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY:14CENSUS: 20DATE:
07/23/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Maclovia RiveroTIME COMPLETED:
11:50 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Yolanda Baez and Elise Read arrived at the facility to conduct an unannounced annual random inspection. Upon arrival LPAs met with Licensee, Maclovia Rivero. Also present at the time of the inspection was helper, Maria Soriano, and another adult who licensee named as Alondra Sanchez. There were 20 children present at the time of the LPA's arrival, including 4 infants. Three children then left with Alondra Sanchez. Licensee states that these three children were Alondra's children. Licensee also stated that Alondra is her nephew's girlfriend, who was visiting. Three children were sent home and picked up at the time of the inspection (2 infants and one toddler).

LPAs observed two exersaucers and three rockers in the home. There was one infant in an exersaucer and one infant in a rocker at time of LPA's arrival, see 809D for cited deficiency. LPAs discussed prohibited items with licensee and provided a prohibited items worksheet to Licensee and Licensee stated that she understood. Licensee stated that she will remove the prohibited items. LPAs toured the home, this is a 3 bedroom and 2 bathroom one story home. The primary child care areas are the following: bathroom #1, Bedroom #3, Bedroom #1, the living room, the dining area, the kitchen, and the front yard. The following areas have been inaccessible through the use of door knob covers and door locks: Bedroom #2, Bathroom #2, and the back yard. There is a sufficient amount of age appropriate toys, games and books available. The home has plenty of space for the children to eat, sleep and play, and was a comfortable temperature during this visit. LPAs observed Listerine mouthwash, two bottles of Crest mouthwash, a bottle of hair spray, and multiple lotions under the bathroom sink accessible to children, see 809D for cited deficiency. The fire extinguisher was located in the kitchen, but needed to be recharged and is not operational, see 809D for cited deficiency. The fireplace is screened. The smoke alarm is operational. There was no carbon monoxide detector at the facility, see 809D for cited deficiency. LPAs verified a working telephone, working email address, and all required forms are posted. Licensee stated that there are no firearms or ammunition in the home. LPAs verified that all adults living or working in the home have been fingerprint cleared and associated to the facility. ...CONTINUED ON PAGE 2...

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019
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 6
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: RIVERO, MACLOVIA & MAGANA, EDUARDO FCC
FACILITY NUMBER: 376623979
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2019
Section Cited

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IMMUNIZATIONS- The licensee shall document each child's immunizations...and shall maintain such documentation for as long as the child is enrolled. This requirement was not met as evidenced by record review. Five children were missing immunization records. This is a potential risk to the health and safety of children in care.
Type B
07/23/2019
Section Cited

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OPERATION OF A FAMILY CHILD CARE HOME- Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
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This requirement was not met as evidenced by LPA's oberservation of bottles of mouthwash, hairspray, and lotions under the bathroom sink accessible to children. This is a potential risk to the health and safety of children in care.
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Type B
08/06/2019
Section Cited

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Every family day care home for children shall have one or more carbon monoxide detectors in the facility that meet the standards...This requirement was not met as evidenced by LPA's observation and interview with licenseee.Licensee stated that her husband removed the Carbon Monoxide Detector. This is a potential risk to the health and safety of children in care.
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: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 07/23/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/23/2019
LIC809 (FAS) - (06/04)
Page: 6 of 6
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: RIVERO, MACLOVIA & MAGANA, EDUARDO FCC
FACILITY NUMBER: 376623979
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2019
Section Cited

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OPERATION OF A FAMILY CHILD CARE HOME- ...The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal. This requirement was not met as evidenced by LPA's observation of the fire extinguisher not being operational and needs to be recharged.
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This is a potential risk to the health and safety of the 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: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 07/23/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/23/2019
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: RIVERO, MACLOVIA & MAGANA, EDUARDO FCC
FACILITY NUMBER: 376623979
VISIT DATE: 07/23/2019
NARRATIVE
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Facility roster is not up to date, as 7 children are not listed see 809D for cited deficiency. Children's Records are not complete, as licensee is missing files for 3 children see 809D for cited deficiency. Five children do not have immunization records see 809D for cited deficiency. Licensee's pediatric CPR/FA certification is valid thru 06/2021. LPAs reviewed physical plant, storage of hazardous items, Shaken Baby Syndrome, SIDS, new Safe Sleep regulations (form given to Licensee), and emergency drills. Licensee was reminded that walkers, jumpers, exersaucers and bouncers are not permitted for use in the day care. Licensee was reminded that corporal punishment and smoking are not allowed. Incidental Medical Services (IMS) was discussed. Licensee stated that she currently does not have any child enrolled who requires IMS and understands that she must submit a written plan of operation 30 days after enrolling a child who requires IMS. 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 http://www.ada.gov/childqanda.htm. Immunization law (SB792) was discussed with Licensee. Licensee understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. Licensee is not in compliance with SB 792. Licensee is missing the MMR vaccine. Helper Maria Soriano does not have immunization records. Mandated reporter training, AB1207, was discussed with Licensee and Licensee that anyone who provides care and supervision to children have to have certificates present at the facility and available for review. The mandated reporter training may be located at www.mandatedreporterca.com. Licensee and husband are in compliance with AB1207. LPAs and Licensee discussed California Megan’s Law and LPA provided: www.meganslaw.ca.gov. LPAs obtained updates for the following forms:
  • LIC 279: Application (to update current adults residing in the facility)
  • LIC 999: Facility Sketch (to update areas that are accessible and off limits to the day care children)
  • LIC 610: Emergency Disaster Plan (to update temporary relocation sites and phone numbers)

See LIC809D for cited deficiencies. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed licensee post notice of site visit.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019
LIC809 (FAS) - (06/04)
Page: 2 of 6
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: RIVERO, MACLOVIA & MAGANA, EDUARDO FCC
FACILITY NUMBER: 376623979
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/24/2019
Section Cited

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PERSONAL RIGHTS- Each child receiving services from a family child care home shall have certain rights...These rights include, but are not limited to, the following: To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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This requirement was not met as evidenced by LPA's observation of one infant standing in an exersaucer and one infant laying in a rocker. This is an immediate risk to the health and safety of children in care.
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Request Denied
Type A
07/24/2019
Section Cited

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STAFFING RATIO AND CAPACITY- The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.
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This requirement was not met as evidenced by LPA's observation of 20 children in care upon arrival to the facility, including 4 infants. This is an immediate risk to the health and safety of 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: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 07/23/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/23/2019
LIC809 (FAS) - (06/04)
Page: 3 of 6
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: RIVERO, MACLOVIA & MAGANA, EDUARDO FCC
FACILITY NUMBER: 376623979
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2019
Section Cited

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The licensee shall maintain, in each child's record,.. Requirement was not met as evidence by record review. Licensee does not have complete files for 3 of the children in care, the missing forms were LIC700, LIC627, LIC995A, LIC9150, and PM286A. This poses a potential risk to the health and safety of the clients in care.
Type B
08/06/2019
Section Cited

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Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. Requirement is not met as evidenced by record review. Licensee does not have an up to date roster available for review, missing 7 children. This poses a potential risk to the health and safety of the clients in care.
Type B
08/06/2019
Section Cited

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Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
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Requirement not met as evidence by staff file review. Licensee Maclovia Rivero is missing Measles vaccine and helper Maria Soriano does not have immunization records at facility for review.
This poses a potential risk to the health and safety of the clients 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: Joe CarrascoTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 07/23/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/23/2019
LIC809 (FAS) - (06/04)
Page: 4 of 6