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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304314103
Report Date: 12/17/2025
Date Signed: 12/17/2025 03:01:30 PM

Document Has Been Signed on 12/17/2025 03:01 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MORRIS, MARIAFACILITY NUMBER:
304314103
ADMINISTRATOR/
DIRECTOR:		MORRIS, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 303-9617
CITY:FULLERTONSTATE: CAZIP CODE:
92832
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
12/17/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Licensee, Maria MorrisTIME VISIT/
INSPECTION COMPLETED:
03:10 PM
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On 12/17/2025 at 1:30pm, Licensing Program Analyst (LPA) Sarah Garcia conducted an unannounced case management- incident visit in response to a self-reported unusual incident report (LIC 624) received on 11/25/25 regarding an injured child. Upon arrival, LPA met with facility representative, Miriam Torres Soto. LPA informed facility representative about the purpose of the visit. LPA observed 6 children with 1 staff. At 1:41pm, an additional staff and child arrived at the facility. At 1:50pm, licensee and 2 additional children arrived at the facility. At 2pm, total census is 9 children with 3 staff. The facility was operating within compliance with staff-child ratios and licensed capacity.

An on-site review of the Facility Personnel Report Summary on this date 11/25/2025 indicates all present facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.



On 11/25/25 the facility reported to the Department that on 11/21/2025 at 10:33am, Child 1 (C1) was twirling inside the living room, slipped, and hit their head on a lower bookshelf. Licensee observed C1 with a red mark and a small bump but no bleeding. At approximately 12:10pm, licensee took C1 to school and the school called stating the bump became a bruise and the authorized representatives were informed. Licensee spoke with authorized representatives of C1 later that day and confirmed that C1 was okay and did not require any medical attention. Ratio at the time of the incident was 1:6.

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NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen
NAME OF LICENSING PROGRAM ANALYST: Sarah Garcia
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MORRIS, MARIA
FACILITY NUMBER: 304314103
VISIT DATE: 12/17/2025
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LPA Garcia conducted staff interview, and received the following documents: children’s roster and and LIC 624. LPA obtained video of the incident. LPA observed the child spinning, slipping, and hitting their head on the bottom shelf of the cubby. LPA observed C1 cry and S2 pick them up and comfort them.

Based on the information that was gathered through interviews and record reviews, it revealed the incident was an accident and C1 was supervised by a Staff 2 (S2) at the time of the incident on 11/21/2025.

No deficiencies will be cited today. On 12/11/25 LPA referred facility to the Technical Support Program (TSP) for additional support. A TSP analyst will reach out to licensee with further information.

Exit interview was conducted and a copy of the report was provided to licensee, Maria Morris. Notice of site visit was given and must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen
NAME OF LICENSING PROGRAM ANALYST: Sarah Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025
LIC809 (FAS) - (06/04)
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