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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376624038
Report Date: 10/05/2022
Date Signed: 10/05/2022 05:14:39 PM


Document Has Been Signed on 10/05/2022 05:14 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:MACIAS, MAGDA FAMILY CHILD CAREFACILITY NUMBER:
376624038
ADMINISTRATOR:MAGDA MACIASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 425-8615
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 2DATE:
10/05/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Magda MaciasTIME COMPLETED:
05:00 PM
NARRATIVE
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On 10/05/2022 at 4:30 pm., Licensing program Analyst (LPA) Edgar Campana conducted an unannounced case management deficiency visit. Upon arrival LPA met with licensee, Magda Macias. During the visit there were two children in care.

On August 12, 2022 under complaint control number 20-CC-20220816145456, licensee failed to report in a timely manner to the department that child #1 (C1) eloped from the family childcare home unsupervised. Licensee stated that she was unaware the incident had to be reported to the department. Licensee did report this incident to C1's parent on the same day, however.

During today’s visit one type B deficiency was issued. The following reports were discussed and provided to the licensee: LIC809 and LIC809-D pages. LPA informed licensee Notice of Site Visit shall be posted for 30 days from today's date. Exit interview conducted with licensee, Magda Macias.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/05/2022
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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Document Has Been Signed on 10/05/2022 05:14 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: MACIAS, MAGDA FAMILY CHILD CARE
FACILITY NUMBER: 376624038

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/14/2022
Section Cited

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102416.2 - Reporting Requirements. (b) - The licensee shall report to the Department …(2) - Any child absence…any child in care who wanders away from the Family Child Care Home…shall be reported even if the child is later found safe.
This requirement was not met as evidenced by:
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Based on licensee’s admission and record review, licensee did not comply with the section cited above as licensee didn’t report the incident to the department regarding C1 eloping from the facility unsupervised, which poses a potential health, safety risk to the children in care.
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Plan of correction shall be submitted to the department by:10/14/22.

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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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 10/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/05/2022
LIC809 (FAS) - (06/04)
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