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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376623033
Report Date: 02/27/2025
Date Signed: 02/27/2025 04:12:28 PM

Document Has Been Signed on 02/27/2025 04:12 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 CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MALDONADO, NUPTCE FAMILY CHILD CAREFACILITY NUMBER:
376623033
ADMINISTRATOR/
DIRECTOR:		NUPTCE MALDONADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 638-2283
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
02/27/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:35 PM
MET WITH:Elena AugirreTIME VISIT/
INSPECTION COMPLETED:
04:20 PM
NARRATIVE
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On 2/27/2025 at 3:35 p.m. Licensing Program Analyst (LPA), Adrian Castellon conducted a case management inspection. LPA met with facility assistant Elena Aguirre and advised of the purpose of the inspection and conducted a tour of the facility. There were eight children present during the inspection.

During the course of a facility inspection conducted on the same date, LPA became aware that a facility assistant, Erika Cuevas, does not have proof of required vaccination.

A Type B citation was issued on this date.

Exit interview conducted and report was reviewed with facility assistant.

The facility assistant was provided with a copy of appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Cynthia Biszant
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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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Document Has Been Signed on 02/27/2025 04:12 PM - It Cannot Be Edited


Created By: Adrian Castellon On 02/27/2025 at 03:44 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: MALDONADO, NUPTCE FAMILY CHILD CARE
FACILITY NUMBER: 376623033

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/03/2025
Section Cited
HSC
1597.622(a)(1)

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1597.622 Employees or volunteers at family day care home; immunization requirements; records; exemptions (a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against nfluenza, pertussis, and measles.
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Licensee Nuptce Maldonado will submit proof of assistant Cuevas vaccinations (MMR and TDAP) by POC date to the SDCCRO.
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Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. Facility assistant Erika Cuevas could not provide proof of required immunizations on this date. Thia may pose a threat to the health and safety of children in care.
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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.
SUPERVISOR'S NAME:Cynthia Biszant
LICENSING EVALUATOR NAME:Adrian Castellon
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


LIC809 (FAS) - (06/04)
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