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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629466
Report Date: 11/08/2023
Date Signed: 11/08/2023 03:47:35 PM

Document Has Been Signed on 11/08/2023 03:47 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:CASILLAS, MARISOL FAMILY CHILD CAREFACILITY NUMBER:
376629466
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
11/08/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Marisol Casillas, LicenseeTIME COMPLETED:
04:05 PM
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On 11/8/23 at 2:35 pm, Licensing Program Analysts (LPAs) Daniela Huerta and Vicky Williamson arrived at the facility to conduct a case management inspection initiated by Licensee, Marisol Casillas. The purpose of today’s inspection is to inspect a hot tub that was installed on 10/9/23. On 10/9/23, Licensee Casillas notified the San Diego Regional Office of the hot tub installation. Licensee has made the hot tub inaccessible to day care children. Licensee has submitted the following: Family Childcare Home Application (LIC 279), Facility Sketch (LIC 999A), and pictures showing that the hot tub top cover can sustain the weight of an adult. Licensee submitted a picture of spouse standing on top of the hot tub cover as well as the latch lock and the key that opens the lock. LPA confirmed that hot tub installation meets Title 22 regulations 101238(e).

Exit interview conducted and report was reviewed with Licensee, Marisol Casillas. A copy of this report, along with Appeal Rights (LIC9058), were provided. A notice of site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Daniela Huerta
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2023
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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