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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444416739
Report Date: 08/28/2024
Date Signed: 08/28/2024 11:05:53 AM

Document Has Been Signed on 08/28/2024 11:05 AM - 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 JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:MARAVILLA, NANCYFACILITY NUMBER:
444416739
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
08/28/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Nancy MaravillaTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On 08/28/2024 at 08:40 AM, Licensing Program Analyst (LPA) Teodoro Trujillo met with licensee, Nancy Maravilla for a case management to increase capacity from eight (8) to 14. Present were licensee and her daughter who is an assistant, Alejandra with 5 daycare children: One (1) infant, Four (4) preschool age. Previous to today's visit, LPA received a Fire Clearance from the Watsonville Fire Department, inspection was conducted and approved on 08/08/2024.
LPA observed that required postings were posted. LPA, along with the licensee toured the inside and outside of the home. LPA observed that there were age-appropriate toys and furniture. LPA observed cots and one crib for the children's use. LPA observed a studio in the rear back yard that is fenced off from the children’s play area, licensee states her parents reside in the rear studio, licensee states studio has required city permit.

A pre-licensing inspection was conducted on 05/09/23, no deficiencies were cited during the visit. LPA inspected the second exit for the home. LPA observed a 3A40BC fire extinguisher that was purchased on 07/27/2024, smoke detector and carbon monoxide detectors were operable. Licensee has current CPR and first aid that expires on 07/25/25 and assistant expires on 07/19/25. Mandated Reporter training is current and was taken on 01/18/24 and assistant on 07/18/23. LPA observed a screened fireplace, no stairs, no wall heater. Licensee stated there are no weapons in the home. Licensee stated there is one vaccinated dog in the home. LPA observed there are no restrictions on the fire clearance, dinning room, family room, hallway bathroom and fenced back play yard area are approved for day care use. LPA reviewed with licensee their ratio/capacity for a large FCCH as well as assistant requirement. Licensee has current child license with Markel Insurance Company.
Supervision of children was discussed with Licensee, and she understands that she or a qualified adult must be present in the home during day care hours and ensure that the children are supervised at all times. LPA discussed the requirement for Licensee to be present at the facility 80 percent of the hours the facility is in operation and that temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. Licensee understands the capacity options and she understand that she cannot have more than 14 children in the home at any time and a qualified assistant must be present. Licensee understands in absence of a helper the license capacity is reduced to 8 and ratio (age of the children) must be observed.

No deficiencies were cited during today's visit. Exit interview was conducted and report was reviewed with Licensee, Nancy Maravilla. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. A notice of site visit was given and must remain posted for 30 days.

LPA informed licensee that an increase of capacity to a large family childcare home is approved pending the following:

-Management's approval

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Teodoro Trujillo
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2024
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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