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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376617343
Report Date: 04/07/2023
Date Signed: 04/07/2023 01:30:14 PM

Document Has Been Signed on 04/07/2023 01:30 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:MARRERO, LOUISA FAMILY CHILD CAREFACILITY NUMBER:
376617343
ADMINISTRATOR:LOUISA MARREROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 565-4138
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
04/07/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Louisa MarreroTIME COMPLETED:
02:00 PM
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On 4/7/23 at 8:30 AM, Licensing Program Analyst (LPA) Adrian Mangina and Associate Governmental Program Analyst (AGPA) Ariel Cazares conducted an unannounced Annual inspection with the Licensee. Upon arrival, LPA met with Licensee, Louisa Marrero. The one-story three bedroom two bathroom home was toured and inspected to ensure an environment safe for the care and supervision of children. Also present in the home were Assistant Ariel Zayas and 11 daycare children. A 12th child arrived at approximately 10:00 AM. Proper supervision and ratios were observed. The carbon monoxide detector, and smoke detector meet requirements and are operational. Licensee’s 1A10BC fire extinguisher does not meet regulation. Licensee states that there are no weapons in the home. LPA and AGPA observed that assistant is not fingerprint cleared for childcare and is not associated to the facility. Licensee states assistant has worked in the home since November 2021. License was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee’s First Aid and CPR certifications expire on 5/22/23. Licensee and staff meet immunization requirements and have completed current Mandated Reporter Training. Licensee maintains emergency records for children. LPA reviewed 11 child files. LPA observed Child 2, Child 3, Child 6, Child 10 do not have child files. LPA reviewed one staff file (Staff #1) which was missing TB. Licensee was advised to ensure that all staff records are complete.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include: the entire home and bac and side yards Off limits areas include: garage and patio.
continued on LIC809 page 2
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 04/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: MARRERO, LOUISA FAMILY CHILD CARE
FACILITY NUMBER: 376617343
VISIT DATE: 04/07/2023
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LIC809 page 2

Licensee was advised that all off limits areas must be made off limits. There is a working phone at the facility. The licensee has sufficient age appropriate, safe, toys and equipment available. The home has a fully fenced backyard available for outdoor activities but due to hazards visual supervision is required at all times.

Upon arrival at facility at 8:30 AM LPA and AGPA observed that the hot tub in front yard has an unlocked cover Licensee states that children enter through side yard, but LPA and AGPS observed that the front door was left ajar, with children having direct access to front yard as there are no doorknob covers or gates to prevent access. LPA and AGPA observed, rope tied around play structure and across yard outside, missing fence slat allowing access to house next door, rebar sticking up from ground in back yard, splintery wood in side yard and hose faucet poses tripping hazard, knife found on kitchen counter and scissors in drawer, batteries in armoire drawer in dining room, lighter and matches in hutch drawer in dining room, and scented oil on desk first bedroom on left vitamin supplements in desk, Furnace closet is unlocked, Lighter and perfumes in master bath counter and chemicals under master bathroom sink, a bag full of medication was found on accessible master bedroom floor. Licensee states does not keep sleep logs. Licensee asked to remove worn outside items: plastic table and plastic piece from castle toy. Licensee did not inform Department of installation of hot tub in front yard. LPA advised Licensee should update immunization record regularly and at least annually

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in the home have criminal background clearances associated to the facility, corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. LPA Mangina directed Licensee to website: https://www.cdss.ca.gov/inforesources/community-care-licensing to receive important updates and information.

continued on LIC809 page 3
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2023
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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: MARRERO, LOUISA FAMILY CHILD CARE
FACILITY NUMBER: 376617343
VISIT DATE: 04/07/2023
NARRATIVE
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LIC809 page 3

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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

See LIC809-Ds for type A and type B deficiencies cited and for civil penalties given and LIC9102s for technical violations. LPA provided Licensee with Technical Service Program brochure.

Exit interview conducted and report was reviewed with Licensee, Luisa Marrero. The Licensee was provided a copy of this report. A Notice of Site Visit (LIC9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

continued on LIC809 page 4
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2023
LIC809 (FAS) - (06/04)
Page: 10 of 11
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: MARRERO, LOUISA FAMILY CHILD CARE
FACILITY NUMBER: 376617343
VISIT DATE: 04/07/2023
NARRATIVE
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LIC809 page 4

LPA Mangina informed Licensee Louisa Marrero that this report dated 4/7//23 documents two Type A citations which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Mangina informed the Licensee to provide a copy of this licensing report dated 4/7/23 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/07/2023 01:30 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 04/07/2023 at 11:25 AM
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: MARRERO, LOUISA FAMILY CHILD CARE
FACILITY NUMBER: 376617343

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(5)
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: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above as hot tub in front patio was not properly latched and front door was left ajar as children accessed bathroom alone which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 04/10/2023
Plan of Correction
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Licensee secured the locks on the hot tub and states will ensure that the cover locks are secured when children are present in the homa. Licensee will also purhcase a lock to make front poatio inaccessible to children.
Type A
Section Cited
CCR
102370(d)
Criminal Record Clearance
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above as staff #1 is not fingerpint cleared to work with children and not associated to the facility which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 04/10/2023
Plan of Correction
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LIcensee states will provide LPA with proof of Livescan for staff #1 no later than close of business 4/10/23 and will, in future, ensure that all staff are fingerprint cleared and associated prior to staff working with children.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Renesha Askew
LICENSING EVALUATOR NAME:Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2023


LIC809 (FAS) - (06/04)
Page: 3 of 11
Document Has Been Signed on 04/07/2023 01:30 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 04/07/2023 at 11:25 AM
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: MARRERO, LOUISA FAMILY CHILD CARE
FACILITY NUMBER: 376617343

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)
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:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in as hazards were found outside: ropes tie to play equipment, rebar sticking out of ground, splintery wood, tripping hazards and inside: knives, batteries chemicals found in master bathroom, dining room and kitchen, medication found in bag on master bedroom floor which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/14/2023
Plan of Correction
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Licensee states will remove all hazrds and provide proof to LPA no later than close of business 4/17/23.
Type B
Section Cited
CCR
102417(g)(1)
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: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above ias fireexinguisher is not 2A10BC as required which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/07/2023
Plan of Correction
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Licensee states will obtain a new 2A10BC fire extinguisher and provide proof to LPA no later than close of business 4/17/23.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Renesha Askew
LICENSING EVALUATOR NAME:Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2023


LIC809 (FAS) - (06/04)
Page: 2 of 11
Document Has Been Signed on 04/07/2023 01:30 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 04/07/2023 at 11:25 AM
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: MARRERO, LOUISA FAMILY CHILD CARE
FACILITY NUMBER: 376617343

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.3(a)(6)
Alterations to Existing Building or Grounds
(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview the licensee did not comply with the section cited above as Licensee increased accessible area outside to back and side yards not previously inspected for safety which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/14/2023
Plan of Correction
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LIcensee provided updated Facility map showing newly accesible areas during inspection and LPA inspected and approved the changes. Licensee states that in future will notify the Department of any changes/additions to the physiacal space or access to physical spaces prior to allowing dren in care access.
Type B
Section Cited
CCR
102421(b)
Child's Records
(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required
in Section 102417(g)(7).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as 4 of 12 children in care do not have individual child files which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/14/2023
Plan of Correction
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LIcensee states will provide LPA with child files for C2, C3, C6 and C10 no later than close of business 4/14/23.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Renesha Askew
LICENSING EVALUATOR NAME:Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2023


LIC809 (FAS) - (06/04)
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