013422725-6-10-2019-52-CC-BPLY-BCZTMA-20190610145050

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422725
Report Date: 06/10/2019
Date Signed: 06/10/2019 02:50:55 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	PRIETO ARANGOITIA, ARACELLY		FACILITY NUMBER:	013422725
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 7	DATE:	06/10/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Aracelly Prieto Arangoitia		TIME COMPLETED:	03:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts (LPA) Briana Plumboy and Diana Campos arrived to the facility unannounced to conduct a Case Management Inspection for an INCREASE IN CAPACITY. LPAs were met by Licensee Aracelly Prieto Arangoitia. Present during today's visit was 6 preschool age children, licensees school age daughter, and licensees 2 teenage sons, and assistant Juanita Maldonado. The facility is in ratio during today’s inspection. This facility currently operates from 7:30am until 5:30pm. LPAs toured the facility. The home is two stories. The home is neat and clean with heating and ventilation for safety and comfort. The ON LIMIT AREAS are the family room, downstairs bathroom, and backyard. The OFF LIMIT AREAS are the garage, formal dining room, living room, kitchen, laundry room, and entire second level of the home which will be inaccessible by closed and/or locked doors and visual supervision. The family room has been designed as a classroom. There is a gate at the bottom of the stairs to prevent access to the stairs and second level of the home. The ISOLATION AREA will be an area inside the family room. The BACKYARD play area is fenced, and contains a play structure which is anchored to the ground and has cushioning material underneath to absorb a fall. Per the fire clearance, the 2^nd exterior access gate must swing in the direction of travel, the second floor is off limits to children in care and there is a gate in place, the kitchen is off limits with a gate in place, the horn/strobe in the kids learning area is operational during the time of the inspection, there is a 2A10BC fire extinguisher with a current tag during the inspection, and there is a sprinkler flow/horn which is operational. The home is clean during today's inspection. The Licensee has a current children's roster. The home has a pull down fire alarm, working smoke detector, working carbon monoxide detector, See 809-C for continuance

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 06/10/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: PRIETO ARANGOITIA, ARACELLY	FACILITY NUMBER: 013422725
	VISIT DATE: 06/10/2019

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

working telephone, and first aid kit. The licensees CPR and First Aid certificate is current and expires 02/02/21. The licensee and her assistant Juanita Malsonado both completed the mandated reporter training and both obtained certificates of completion on 03/31/18. The licensee, her husband, and assistant are in compliance with the immunization law. The fireplace is screened to prevent access by children.

The fire clearance for the increase in capacity was received and approved on 06/07/19.
No deficiencies are being cited during today's inspection. This home is recommended for the capacity increase as of today's date. The licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. This report shall remain on file for 3 years. Exit interview conducted with licensee. Notice of Site Visit provided and must be posted for 30 days.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 06/10/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2