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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370808189
Report Date: 10/18/2024
Date Signed: 10/18/2024 12:45:48 PM

Document Has Been Signed on 10/18/2024 12:45 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:MARSELL'S A.R.F. #3FACILITY NUMBER:
370808189
ADMINISTRATOR/
DIRECTOR:		SELL, MARTHAFACILITY TYPE:
735
ADDRESS:10002 DUNBAR LANETELEPHONE:
(619) 443-6048
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 6CENSUS: 4DATE:
10/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Administrator Dawnne MeltonTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Liliana Silveira conducted a case management visit due to a request to change the facility capacity. LPA was greeted by, identified herself to, and discussed the purpose of the visit with Administrator Dawnne Melton.

A Change of Capacity application was received by the Department on 05/21/24, in which the licensee requested to change the capacity from . The Fire Safety Inspection Request was approved by the local fire authority on 10/08/24.

During today’s visit, LPA toured the facility and inspected each room. The facility sketch was consistent with the current layout of the facility. No immediate health and/or safety concerns were observed during today's visit.

The completed change of capacity request will be forwarded to management for final review and approval. An exit interview was conducted with the Administrator, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2024
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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