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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197415236
Report Date: 01/03/2020
Date Signed: 01/03/2020 03:40:12 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/30/2019 and conducted by Evaluator Loyce Phillips
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20191230151720
FACILITY NAME:AGUILAR FAMILY CHILD CAREFACILITY NUMBER:
197415236
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 9DATE:
01/03/2020
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Deborah AguilarTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Allegations 1: Facility is over capacity
INVESTIGATION FINDINGS:
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On January 3, 2020 at 11:15 AM, Licensing Program Analyst (LPA) Loyce Phillips arrived at the facility for the purpose of conducting a complaint investigation. LPA met with Licensee, Deborah Aguilar, licensee's spouse and daughter. LPA observed 9 child care children in care. During this inspection, LPA, obtained a copy of facility roster, children's information, sign-in sheets, interview staff and children. Licensee is currently licensed to provide care and supervision for 8 children.

Based on the information obtained and LPA's observation there is a preponderance of the evidence to prove that the licensee is operating the Family Child Care over the capacity specified on the license. Therefore; the above allegation is Substantiated.

Deficiency cited: See LIC 9099D: Exit interview conducted: A copy of this report, appeal rights and notice of site inspection was given to Licensee, Deborah Aguilar.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 12-CC-20191230151720
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: AGUILAR FAMILY CHILD CARE
FACILITY NUMBER: 197415236
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/03/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/17/2020
Section Cited
CCR
102416.5(a)
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Staffing Ratio and Capacity: The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. The total licensed capacity for a Small Family Child Care Home shall not exceed eight children. This requirement was not met as evidence by LPA observed 9 child care children in care.
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Licensee stated she will write a stament of declaration with a plan of correction in regards to providing care for the capacity specified on the license. No more than (8) children.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3