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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625066
Report Date: 09/21/2023
Date Signed: 09/21/2023 03:03:51 PM

Document Has Been Signed on 09/21/2023 03:03 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:FERRER, MARIA DE LOURDES FAMILY CHILD CAREFACILITY NUMBER:
376625066
ADMINISTRATOR:MARIA DE LOURDES FERRERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(442) 286-7388
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
09/21/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Maria De Lourdes FerrerTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Sumayya Habeebulla arrived at the facility to conduct an inspection, for a separate and unrelated issue and observed 12 children present at the facility with one adult supervising. Licensee had gone to pick up a child from school.

LPA informed the facility representative Ms. Daisy Saldana that when there is no additional adult present, the facility has to follow the staffing and capacity requirements for a small family childcare. Facility representative was requested to contact Licensee and Licensee arrived within 10 minutes. LPA informed Licensee about the capacity and staffing requirements and Licensee stated that her spouse and son are present at the facility if her assistant needs any help. LPA informed Licensee that her spouse or son should be present in the childcare area to help with the supervision of the childcare children in order to maintain the regulation requirements. Licensee was also reminded that anyone assisting or volunteering in the childcare must meet all required training and immunization on file as per the Title 22 regulations. LPA shared the entrance checklist with Licensee.

An exit interview was conducted, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2023
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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