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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412300
Report Date: 06/29/2023
Date Signed: 06/29/2023 04:46:38 PM


Document Has Been Signed on 06/29/2023 04:46 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:OCANA, MEL & GONZALEZ, MARLAFACILITY NUMBER:
434412300
ADMINISTRATOR:MEL & MARLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 841-3131
CITY:SAN JOSESTATE: CAZIP CODE:
95111
CAPACITY:14CENSUS: 10DATE:
06/29/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Mel Ocana & Marla GonzlalezTIME COMPLETED:
05:15 PM
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Licensing Program Analyst (LPA) Teodoro Trujillo met with Licensees Mel Ocana and Marla Gonzalez at 2:10 PM, for an unannounced annual inspection and explained the reason for the visit to them. Present during today's visit were licensee and assistants Sofia, Laura and and with 10 children: 5 preschool, three infants and 2 school age. Adults living in the home are both licensees and her adult son Eli. Days and hours of operation are Monday through Friday 5:00 AM to 6:00 PM.

A listing of staff criminal record clearances associated to this facility in the CCL Licensing Information System (LIS) on 6/02/2023 was reviewed and it indicates that all Facility staff or other individuals who require caregiver background clearances have received criminal record and child abuse index clearances or exemptions. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

No deficiencies were cited during today's visit. LPA will return at later time to cite type B deficiencies in Facility Administration, records and physical plant.



Exit interview conducted and report was reviewed with the licensee, Mel Ocana and Marla Gonzalez. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Teodoro TrujilloTELEPHONE: (408) 334-8547
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023
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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