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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376623979
Report Date: 11/17/2022
Date Signed: 11/17/2022 04:16:12 PM


Document Has Been Signed on 11/17/2022 04:16 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:RIVERO, MACLOVIA & MAGANA, EDUARDO FCCFACILITY NUMBER:
376623979
ADMINISTRATOR:MACLOVIA R. & EDUARDO M.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 920-4860
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY:14CENSUS: 5DATE:
11/17/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Maclovia RiveroTIME COMPLETED:
04:20 PM
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On 11/17/2022 at 2:15 PM, Licensing Program Analyst,(LPA) Dana Stevens met with Licensee, Maclovia Rivero, for the purpose of a Case Management - Legal Non-Compliance inspection. 5 daycare children ages 1,1, 3,3, and 7 were present with Licensees at the time of this inspection. The home was toured and inspected to ensure an environment safe for the care and supervision of children per the standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Licensee stated there are currently 9 children enrolled and LPA verified that licensee's LIC 9040 roster was complete and updated. LPA observed Probationary License is posted.

The fire extinguisher and smoke and carbon monoxide detectors meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. A review of staff records on this date indicates that all adults or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. First Aid and CPR certifications for both Licensee and assistant expire on 06/2023. Children’s records were reviewed and were found to be complete. Children's files contained signed Acknowledgement Of Receipt Of Licensing forms documenting parents' receipt of current compliance plan. Personnel records were reviewed and found complete.
Licensees and assistants Mandated Reporter training were completed in 03/20211.

LPA Stevens reviewed with Licensee the terms of The Stipulation and Waiver; and Order.

Exit interview was conducted and copy report was provided to Licensee.

No deficiencies cited.

Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Dana StevensTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:
DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/17/2022
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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