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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543908213
Report Date: 10/01/2019
Date Signed: 10/01/2019 02:27:18 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: 9DATE:
10/01/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Socorro Marroquin-GarciaTIME COMPLETED:
02:40 PM
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An unannounced Plan of Correction inspection was conducted by Licensing Program Analysts (LPAs) Ruby Ocegueda and Diana Martinez with licensee Socorro Marroquin-Garcia. LPAs toured the facility inside and outside and census was taken.

The purpose of today's inspection is to clear the deficiency cited during the complaint inspection conducted on 6/13/19. On 6/13/19 licensee was cited for not having a current facility roster.

On 9/10/19 the Child Roster, that was originally sent to CCL on 6/24/19 was forwarded again to the CCL office. On 9/12/19 the written statement was submitted to CCL.

Deficiency cited on 6/13/19 is now cleared. Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiencies were cited during today's visit.

Exit interview was conducted with licensee Socorro Marroquin-Garcia. A Notice of Site Visit Form was posted to parent's board and must be posted for 30 days. This report shall be available for public review upon request.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
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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