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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629376
Report Date: 11/01/2022
Date Signed: 11/01/2022 02:11:41 PM

Document Has Been Signed on 11/01/2022 02:11 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:SAINT LOUIS, MARIE FAMILY CHILD CAREFACILITY NUMBER:
376629376
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
11/01/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Marie Saint Louis, LicenseeTIME COMPLETED:
02:10 PM
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On November 1, 2022 at 1:00 PM, Licensing Program Analyst (LPA), Marie Hernandez conducted an announced Plan of Correction (POC) Inspection to verify that the Licensee has corrected the deficiencies cited October 11, 2022. LPA met with the Licensee, Marie Saint Louis. Present were four children with the Licensee. LPA conducted a records review. During today's POC inspection, LPA observed that the Licensee has corrected the deficiencies pertaining to record keeping.

An exit interview was conducted and a copy of the report and the appeal rights were discussed and provided to the Licensee Marie Saint Louis. The notice of site visit was provided and posted during the inspection.

SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2022
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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