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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629531
Report Date: 04/26/2023
Date Signed: 04/26/2023 12:39:18 PM

Document Has Been Signed on 04/26/2023 12:39 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:PARRA, MARICELLA FAMILY CHILD CAREFACILITY NUMBER:
376629531
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 3CENSUS: 1DATE:
04/26/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:TIME COMPLETED:
12:40 PM
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On 04/26/23 at 12:10PM, Licensing Program Analyst (LPA) Luigi Gargaro conducted an unannounced case management visit to the facility today to inspect the licensee's previously off limits home back yard. Licensee has cleared and landscaped the yard and is requesting to make it available for day care use.

Analyst inspected the yard and found it sufficiently cleared and safely appointed so that the provider may immediately use it for care. Licensee will also update her facility sketch to reflect the yard as a for use area

Today's report was reviewed with the licensee, Maricella Parra, and analyst provided her a copy of it for her records as well as a copy of her appeal rights and a Notice of Site Visit that the licensee will post for 30 days on her Licensing documentation board.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023
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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