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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409068
Report Date: 03/09/2023
Date Signed: 03/09/2023 10:49:18 AM

Document Has Been Signed on 03/09/2023 10:49 AM - 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:MADRIGAL DE FRIAS, MARISAFACILITY NUMBER:
073409068
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 2DATE:
03/09/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:MADRIGAL DE FRIAS, MARISA TIME COMPLETED:
11:30 AM
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On March 9, 2023 at 8:30 AM Licensing Program Analyst (LPA) Nyeesha Blount arrived at the facility to conduct an unannounced Case Management visit for an pending application for Increase Capacity. LPA met with Licensee Madrigal De Frias, Marisa. LPA toured all On Limits Areas of the home. Present for the inspection were the Licensee, (2) Preschool-Age children.

The home is a one story home. The home consists of (3) bedrooms, (2) bathrooms, living room, dinning room, kitchen, fenced back yard, and garage. The fenced back yard will be used for the outdoor play space. Off-Limit Areas will be (2) bedrooms, (1) bathroom, and garage which are secured with latches and locks made inaccessible to the children in care. There is a fully charged 3A40BC fire extinguisher last serviced October 2022, a working smoke detector, a working carbon monoxide detector. There are sufficient age appropriate furnishings, toys, books and learning materials available. Operating hours will be Monday
- Friday 5:30AM to 6:00PM.

The ISOLATION AREA will be in the 1st bedroom down the hall to the right.

LPA discussed the provided staffing ratio and capacity chart. LPA reminded licensee that if no assistant provider is present, the licensee shall comply with the capacity requirements for a small family child care home.

There were no deficiencies cited during this site inspection. A copy of the appeal rights was issued as well as a notice of site visit which is to remain posted for 30 days.

The facility has been approved for a capacity Increase to Large Family Child Care Home

effective March 9, 2023.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2023
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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