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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543908213
Report Date: 05/23/2019
Date Signed: 05/24/2019 10:43:24 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MARROQUIN-GARCIA, SOCORRO FAMILY CHILD CAREFACILITY NUMBER:
543908213
ADMINISTRATOR:MARROQUIN-GARCIA, SOCORROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 280-2754
CITY:VISALIASTATE: CAZIP CODE:
93292
CAPACITY:14CENSUS: 8DATE:
05/23/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Socorro Marroquin-GarciaTIME COMPLETED:
01:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Diana Martinez conducted a case management inspection today to address the following deficiency that was identified during a complaint investigation:

Licensee was operating beyond ratio without an assistant.

LPA met with licensee Socorro Marroquin-Garcia and took census. Licensee’s husband/assistant and daughter/assistant arrived later.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, the following deficiency is found and cited on form 809D.

Licensee was provided a copy of appeal rights. Exit interview conducted with licensee Socorro Marroquin-Garcia. Notice of Site Visit Form (LIC 9213) was posted to parents' board and must remain posted for 30 days.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Diana D MartinezTELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MARROQUIN-GARCIA, SOCORRO FAMILY CHILD CARE
FACILITY NUMBER: 543908213
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/23/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/31/2019
Section Cited
CCR
102416.5(a)
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Staffing Ratio and Capacity. The capacity specified on the license shall be the maximum number of children for whom care can be provided. This requirement was not met as evidenced by observation conducted during today’s inspection. This poses a potential risk to the health, safety, or personal rights of children in care.
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Licensee agrees to comply with the capacity and ratio requirements for a small FCCH if no assistant provider is present. LPA reviewed and provided licensee with the maximum capacity worksheet to prevent a ratio/capacity deficiency. Deficiency was cleared today; however, licensee agrees to submit a written
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At 12:25 PM, LPA entered home and observed licensee alone with a total of 8 children (2 infants and 6 children). Licensee indicated that her assistant Klarissa left on an errand. As licensee was unable to contact assistant over the phone, licensee contacted her husband to assist and he arrived at 12:47 PM. At 1:00 PM one child was picked up by parent. Assistant Klarissa arrived at 1:49 PM.
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statement to CCLD by 5/31/19 outlining how she will ensure she maintains the proper ratio/capacity.
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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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Diana D MartinezTELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
LIC809 (FAS) - (06/04)
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