136609126-5-28-2025-20-CC-LGAO-DH4TAG-20250528143332

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136609126
Report Date: 05/28/2025
Date Signed: 05/28/2025 02:33:46 PM

Document Has Been Signed on 05/28/2025 02:33 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	LEON, MARISA FAMILY CHILD CARE		FACILITY NUMBER:	136609126
ADMINISTRATOR/ DIRECTOR:	LEON, MARISA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 355-8788
CITY:	IMPERIAL	STATE: CA	ZIP CODE:	92251
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 9	CENSUS: 8	DATE:	05/28/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:05 AM
MET WITH:	Assistant Cinthia Martinez and Divine Leon		TIME VISIT/ INSPECTION COMPLETED:	02:40 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On May 28, 2025, at 10:05 AM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with licensee assistant, Cinthia Martinez. LPA disclosed the purpose of the inspection and was granted entry into the facility by the assistant. Licensee Leon was out of the facility today so care was being provided by assistant Martinez and licensee's adult daughter, Divine Leon. Ms. Martinez is solely Spanish speaking but licensee's daughter provided translation for analyst during today's visit. Eight (8) children and Ms. Martinez and the licensee's daughter were present in the facility during this inspection. This facility is a one floor, four bedroom, four bathroom house. Licensee assistant accompanied LPA inside and out of the facility during this inspection. The following areas used for child care are: the family room/primary day care room, the immediately adjacent living room (which is for limited activity use) and the first home bathroom off the day care room. Off limits areas are the kitchen, the four home bedrooms, the dining room and the remaining three home bathrooms. All are found behind the home living room and are made inaccessible with the use of a secured child safety gate that is installed at the back exit of the living room. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available. The home has a fenced front yard available for outdoor activities. The home also has a backyard which is off limits to the day care and is made that way with an exit door from the kitchen which is found in the off limits area of the home. No bodies of water were observed on the premises during the inspection. Licensee assistant stated there are no weapons in the home. A review of staff records on this date indicates that most facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions as licensee's assistant daughter, Divine Leon, is not associated to the facility though she advised analyst that her clearances are in process.

NAME OF LICENSING PROGRAM MANAGER: Jason Garay
NAME OF LICENSING PROGRAM ANALYST: Luigi Gargaro
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/28/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEON, MARISA FAMILY CHILD CARE	FACILITY NUMBER: 136609126
	VISIT DATE: 05/28/2025

NARRATIVE

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Licensee’s and assistant Martinez' First Aid and CPR certifications are valid through May of 2025. Licensee has required immunizations but neither other helper had them on file. Licensee completed Mandated Reporter Training on 05/14/25 while both assistants completed theirs on 05/13/25. Facility roster is maintained and was reviewed. The last fire and disaster drills have not been conducted within the past 6 months. There is one crib or play yard for each infant who is unable to climb out of the crib or play yard. Cribs or play yards are free from all loose articles and objects. The provider physically checks on sleeping infants every 15 minutes but has not been maintaining a safe sleep log as required. An Individual Infant Sleeping Plan [LIC 9227 (3/20)] is maintained for each infant up to 12 months of age. The provider places infants up to 12 months of age on their backs for sleeping.

LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov. In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248. Unusual Incident Reports may be e-mailed to: SDIncidentReports@dss.ca.gov

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Two type A and four type B violations California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D.

NAME OF LICENSING PROGRAM MANAGER: Jason Garay
NAME OF LICENSING PROGRAM ANALYST: Luigi Gargaro
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/28/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEON, MARISA FAMILY CHILD CARE	FACILITY NUMBER: 136609126
	VISIT DATE: 05/28/2025

NARRATIVE

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Upon Receipt of a type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

An exit interview was conducted with the licensee assistants. The assistants were provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

A notice of site visit was provided by the LPA and must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Jason Garay
NAME OF LICENSING PROGRAM ANALYST: Luigi Gargaro
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/28/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/28/2025 02:33 PM - It Cannot Be Edited

Created By: Luigi Gargaro On 05/28/2025 at 12:57 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEON, MARISA FAMILY CHILD CARE	FACILITY NUMBER: 136609126
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102425(h)

Infant Safe Sleep

Car seats shall only be used for transportation purposes and shall not be used for sleeping. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on analyst observation, the licensee did not comply with the section cited above as when analyst walked into the facility child #3 was in a car seat that was placed in one of the facility playpens which poses an immediate health, safety or personal rights risk to children in care.
	POC Due Date: 05/28/2025
	Plan of Correction
1 2 3 4	The deficiency was corrected when the child was removed from the car seat and placed in the day care activity area. License assistants were advised that infants are not allowed to sleep or rest in any equipment that is not specifically for child napping and understand that a car seat may not be used for that purpose at any time in the future.

Type A

Section Cited

HSC

1596.871(c)(1)(A)

Administration of Child Day Care Licensing

Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on analyst interview and record review, the licensee did not comply with the section cited above as her adult daughter, Divine Leon, was assisting today without associated criminal record clearances which poses an immediate health, safety or personal rights risk to children in care.
	POC Due Date: 05/29/2025
	Plan of Correction
1 2 3 4	Licensee daughter stated she is in process of having her fingerprinting completed and will contact analyst by 05/29/25 advising him of the date and time for the most immediate Livescan appointment available to obtain fingerprint clearances.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Jason Garay
NAME OF LICENSING PROGRAM MANAGER:

	Luigi Gargaro
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/28/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/28/2025 02:33 PM - It Cannot Be Edited

Created By: Luigi Gargaro On 05/28/2025 at 12:57 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEON, MARISA FAMILY CHILD CARE	FACILITY NUMBER: 136609126
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(9)(A)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on analyst record review, the licensee did not comply with the section cited above as fire and earthquake drills have not been conducted at the facility within the past six months which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 06/09/2025
	Plan of Correction
1 2 3 4	Analyst provided licensee assistants with a blank disaster drill log for them to conduct fire and earthquake drills with the day care children and continuing to do so every six months. Licensee assistants state they will have the first set of drills conducted and document them and then send analyst a copy of the by 06/09/25 to complete the correction.

Type B

Section Cited

CCR

102425(j)(2)(B)

Infant Safe Sleep

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on analyst interview and record review, the licensee did not comply with the section cited above as the only infant who currently naps at the facility, child #2, has not been having their naps logged as required which poses/posed a potential health, safety or personal rights risk to infants in care.
	POC Due Date: 06/09/2025
	Plan of Correction
1 2 3 4	Licensee has safe sleep logs on hand at the facility and assistants state they will start maintaining sleep logs for that infant begining tomorrow, 05/29/25, and going forward and for any other infant who naps at the home. Assistants state they will send analyst a copy of the log for the period of 05/29/25 - 06/06/25 on 06/09/25 to correct the deficiency.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Jason Garay
NAME OF LICENSING PROGRAM MANAGER:

	Luigi Gargaro
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/28/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

LIC809 (FAS) - (06/04)

Page: 5 of 8

Document Has Been Signed on 05/28/2025 02:33 PM - It Cannot Be Edited

Created By: Luigi Gargaro On 05/28/2025 at 12:57 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEON, MARISA FAMILY CHILD CARE	FACILITY NUMBER: 136609126
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.622(c)

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on analyst interview and record review, the licensee did not comply with the section cited above as neither helper today had copied of their immunization records which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 06/30/2025
	Plan of Correction
1 2 3 4	Assistants state they will either go to their medical provider and obtain copies of records demonstrating proof of required immunizations or, if they have not received those immunizations, obtain them from their provider and send analyst a copy of proof of them by 06/30/25 to correct the deficiency.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Jason Garay
NAME OF LICENSING PROGRAM MANAGER:

	Luigi Gargaro
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/28/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

LIC809 (FAS) - (06/04)

Page: 6 of 8

Document Has Been Signed on 05/28/2025 02:33 PM - It Cannot Be Edited

Created By: Luigi Gargaro On 05/28/2025 at 12:57 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LEON, MARISA FAMILY CHILD CARE	FACILITY NUMBER: 136609126
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/28/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(m)(3)

Operation of A Family Child Care Home

(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as none of the children's files contained the affidavit indicating that the facility does not carry liability insurance which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 06/09/2025
	Plan of Correction
1 2 3 4	Assistants were provided with a copy of the liability insurance form indicating that the facility does not currently carry it and will provide a copy to all the day care parents to complete and sign and place in their children's folders. Assistants state they will send analyst a copy of two forms from two different families by 06/09/25 to complete the correction.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Jason Garay
NAME OF LICENSING PROGRAM MANAGER:

	Luigi Gargaro
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/28/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025

LIC809 (FAS) - (06/04)

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