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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376617838
Report Date: 11/29/2022
Date Signed: 11/29/2022 03:45:24 PM

Document Has Been Signed on 11/29/2022 03:45 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MORFIN, BELIA & ROSALBA FAMILY CHILD CAREFACILITY NUMBER:
376617838
ADMINISTRATOR:MORFIN, BELIA & ROSALBAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 521-1653
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
11/29/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Rosalba Morfin & Isai QuezadaTIME COMPLETED:
03:50 PM
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On 11/29/22 at 3:00PM, LPA Luigi Gargaro conducted an unannounced case management visit to the facility. Visit was conducted with co-licensee Rosalba Morfin and her son Isai Quezada to confirm update on secondary structure on property and status of pending co-licensee application.

During previous home inspection visit to facility, analyst found second completed home structure on property that licensee advised was a newly built residence addressed as 3614 45th Street. Licensee Ms. Morfin confirmed residence in the new home with care being conducted solely at licensed 3612 45th Street address. New home, however, was confirmed by county assessor's office as not officially completed and permitted residence and therefore just a secondary structure associated with the 3612 licensed address.

During analyst's visit today, the status of secondary home was confirmed as unchanged by the licensee and her son. Mr. Esai, who resides in the main home, also confirmed he is still in the process of completing an application to add himself to the license and to remove current co-licensee Belia Morfin. Mr. Esai advised analyst that he has almost fulfilled all the requirements and will submit the completed application before the end of the year.

Analyst advised agency will await application and update status as soon as it is submitted. Report was reviewed today with Ms. Morfin and Mr. Quezada and a copy was signed for and provided to Ms. Morfin for her records.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2022
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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