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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604331
Report Date: 09/23/2024
Date Signed: 09/23/2024 01:29:11 PM

Document Has Been Signed on 09/23/2024 01:29 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. #109
SAN DIEGO, CA 92108
FACILITY NAME:MARANATHA DAY PROGRAMFACILITY NUMBER:
374604331
ADMINISTRATOR/
DIRECTOR:		GUIBERT, NICOLEFACILITY TYPE:
775
ADDRESS:1112 BROADWAY, #103TELEPHONE:
(619) 760-3322
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 45CENSUS: 41DATE:
09/23/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Administrator Nicole GuibertTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to the facility to conduct a Plan of Correction (POC) visit to confirm that a citation, which was issued on 08-29-2024, has been corrected. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Administrator Nicole Guibert.

The following citations were reviewed during today's visit:

82088(e)(1) Fixtures, Furniture, Equipment, and Supplies: Since 08-29-2024, Licensee made temperature adjustments to the day program facility's boiler. During today's visit, LPA retested the hot water at all taps used by clients, and all were compliant: Public Restroom #1 Sink was 108.7 F, Public Restroom #2 Sink was 117.5 F, Common Area Sink #1 was 117.5 F, and Common Area Sink #2 was 117.7 F. The Plan of Correction is Satisfied.

No new deficiencies were identified or cited during today's visit.

An exit interview was conducted with Guibert, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2024
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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