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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136610607
Report Date: 06/24/2024
Date Signed: 06/24/2024 01:14:39 PM

Document Has Been Signed on 06/24/2024 01:14 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:GRIJALVA, MARICELA FAMILY CHILD CAREFACILITY NUMBER:
136610607
ADMINISTRATOR/
DIRECTOR:
MARICELA GRIJALVAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 352-0844
CITY:EL CENTROSTATE: CAZIP CODE:
92243
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 5DATE:
06/24/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Maricela GrijalvaTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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On June 24, 2024, at 11:15 AM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the licensee, Maricela Grijalva. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Five (5) children, Ms. Grijalva and her cleared and associated assistant, Brenda Martinez, were present in the facility during this inspection. This facility is a two floor, four bedroom, three bathroom house. Licensee accompanied LPA inside and out of the facility during this inspection.

The following areas used for child care are: the kitchen, the dining room, the living room, the family/primary day care room, the day care play room and the day care bathroom all located on the first floor of the home. Off limits areas are garage and the second floor of the home. The garage is made inaccessible with a door knob cover installed on the door handle and a door lock while the upstairs is made inaccessible with a secured safety gate that is installed at the bottom of the home staircase.

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 backyard available for outdoor activities. No bodies of water observed on the premises during the inspection. Licensee stated there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions.

Licensee’s First Aid and CPR certifications expire in October of 2024 while her assistant's expire in November of 2024. Licensee and her assistant both have all of their required immunizations. Licensee completed Mandated Reporter Training on 10/19/23 and her assistant received her most recent certification on 05/23/24. Facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 05/20/24. Licensee currently has no infants in care but confirmed she is aware of the existing infant safe sleep regulations.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2024
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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: GRIJALVA, MARICELA FAMILY CHILD CARE
FACILITY NUMBER: 136610607
VISIT DATE: 06/24/2024
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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.

No deficiencies were cited during today's visit.

An exit interview was conducted with the licensee, Maricela Grijalva. The licensee was 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.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2024
LIC809 (FAS) - (06/04)
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