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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409068
Report Date: 02/27/2024
Date Signed: 02/27/2024 03:00:27 PM

Document Has Been Signed on 02/27/2024 03:00 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, 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: 8CENSUS: 2DATE:
02/27/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:MADRIGAL DE FRIAS, MARISA TIME COMPLETED:
03:25 PM
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On February 27, 2024 at 01:25 PM 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 and (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. On-Limit Areas will be (1) bedroom, (1) bathroom, kitchen, living room, and backyard. There is a fully charged 3A40BC fire extinguisher last serviced October 2023, 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 6:45PM.

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 if no assistant is available provider must be present. LPA discussed 100% supervision at all times is required inside and outside of the facility. LPA advised if any incident occurs it must be reported to Licensing within 24 hours followed up with an LIC624 LPA provided copies of LIC624B. Licensee does not speak English well so translation was conducted through the whole inspection by cell phone. Licensee understood everything that was discussed by confirming with Si Translation yes in Spanish. LPA observed the home is extremely neat and clean and has adequate enough space to care for a Large Family Child Care Home.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2024
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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: MADRIGAL DE FRIAS, MARISA
FACILITY NUMBER: 073409068
VISIT DATE: 02/27/2024
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On March 9, 2023 Licensing Program Analyst (LPA) Nyeesha Blount arrived at the facility to conduct an unannounced Case Management Visit for pending application for increase capacity. LPM & RM instructed to not increase due to pending investigation which was not approved on this date. LPA observed Licensee is a very loving, compassionate, patient person while she cares for the children in her facility. Licensee is in compliance with current Mandated Reporter's Training that expires September 28, 2025 and Pediatric CPR that will expire on March 1, 2024.

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 February 27, 2024.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024
LIC809 (FAS) - (06/04)
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