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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543908213
Report Date: 06/13/2019
Date Signed: 06/14/2019 10:22:00 AM

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: 9DATE:
06/13/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Socorro Marroquin-GarciaTIME COMPLETED:
11:50 AM
NARRATIVE
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Licensing Program Analyst (LPA) Diana Martinez conducted a case management visit today to address the following deficiency that was identified during the complaint investigation conducted on 5/23/19:

Facility roster of children not current.

LPA met with licensee Socorro Marroquin-Garcia and took census. Also present was assistant/daughter Klarissa Hernandez. Nine children were present today.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, the following deficiencies are 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: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
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 2
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: 06/13/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/28/2019
Section Cited
CCR
102417(g)(8)
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Operation of a Family Child Care Home. All homes shall have a current roster of the children. This requirement was not met as evidenced by LPA’s observation of roster. Roster was not current as it did not contain any of Child 1’s information.
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Licensee will submit an updated roster of children in care to CCLD by 6/28/19. Licensee agrees to read the section cited today, “Operation of a Family Child Care Home”. Licensee agrees write a written statement indicating she understands this section by due date.
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There was also missing information, such as birth dates, dates of enrollment, and phone numbers, for other children. This poses a potential risk to the health, safety, or personal rights of children in care.
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Licensee agrees to watch the video “Record Keeping in Family Child Care”. Access website at http://ccld.childcarevideos.org/family-child-care-providers/
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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: 06/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
LIC809 (FAS) - (06/04)
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