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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376102980
Report Date: 07/27/2026
Date Signed: 07/27/2026 05:04:27 PM

Document Has Been Signed on 07/27/2026 05:04 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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:OCTAVIUS, MAGUERITE FAMILY CHILD CAREFACILITY NUMBER:
376102980
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 3DATE:
07/27/2026
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Maguerite OctaviousTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
NARRATIVE
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On 07/27/2026 at 3:30pm, Licensing Program Analyst (LPA) Adriana Macias, conducted an unannounced case management inspection initiated by licensee to increase the capacity of the facility. Upon arrival, LPA met with Licensee Maguerite Octavius and toured the facility and discussed purpose of visit. Present during inspection, there were 3 daycare children and licensee’s minor child and licensee’s adult son Markenley Octavious recently fingerprinted and associated to the facility. Facility Records and Children’s Records were reviewed. Last emergency drill was conducted on 04/08/2026. The home appears to be large enough to comfortably accommodate 14 children. A facility Roster was obtained. Landlord consent was obtained.

Fire Clearance was granted on 07/08/2026 by the San Diego Fire Department.
Licensee’s Mandated Reporter expires on 09/02/2026 and licensee was reminded to update every two years.
Licensee stated that she would provide an updated CPR and First Aid certification.
Pursuant to Health and Safety CA Code of Regulations, the following Type B deficiency was cited (refer to LIC 809-D). CPR and First Aid certificated card must be turned in prior to an increase of capacity.
Areas used for child care are the Living Room, Dining, Bedroom 2 and Bathroom 2. Off limit areas are the Kitchen, Bedroom 1 and Bathroom 1 and are inaccessible by use of locks and mesh gate. The fire extinguisher, smoke detector, and carbon monoxide detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water in the home and licensee states that there are no weapons in the home.

Exit interview conducted and report was reviewed with Licensee Maguerite Octavius. LPA provided a copy of the report and appeal rights. A notice of site visit was provided and must remain posted for 30 days.

Keturah Lane
Adriana Macias
DATE: 07/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2026
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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Document Has Been Signed on 07/27/2026 05:04 PM - It Cannot Be Edited


Created By: Adriana Macias On 07/27/2026 at 04:35 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: OCTAVIUS, MAGUERITE FAMILY CHILD CARE
FACILITY NUMBER: 376102980

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/04/2026
Section Cited
HSC
1596.866(b)

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§1596.866(b) Additional health and safety training; condition of licensure
(b) Day care center directors and licensees of family day care homes shall ensure that at least one staff member who has a current course... are present... to have a current course completion card in pediatric first aid and pediatric CPR. This requirement was not met as evidenced by:
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Licensee stated that she will complete the course as soon as possible and turn in to licensing before 09/04/2026.
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Based on LPA File review at the time of inspection, Licensee did not have a current CPR/First Aid card available for review. Licensee stated that she has not had a CPR/First Aid class completed as of 2024, which poses a potential health and safety and personal rights risk to the children enrolled.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Keturah Lane
NAME OF LICENSING PROGRAM MANAGER:
Adriana Macias
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2026


LIC809 (FAS) - (06/04)
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