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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274403695
Report Date: 11/12/2021
Date Signed: 11/15/2021 05:52:45 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:PANIAGUA, MARIAFACILITY NUMBER:
274403695
ADMINISTRATOR:PANIAGUA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 761-8535
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 9DATE:
11/12/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Maria PaniaguaTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Elizabeth Berumen met with Licensee, Maria Paniagua for an unannounced Required – 1 year annual inspection. LPA was granted access to the home by the Licensee. LPA also observed nine day care children (4 infants & 5 preschool), Licensee's assistant, Luz Maria Ortiz was also present in the home.
Licensee was operating within her capacity and ratio requirements. LPA observed the required postings, including the facility license, near the front entrance to the home. Days and hours of operation are Monday - Friday from 6:00 AM to 6:00 PM. Licensee states that she also opens Saturdays from 6:00 AM to 3:00 PM. Licensee and her daughter (Maritza Paniagua) are the only adults living in the home. Licensee's infant grandson (age 1.5) also lives in the home.

LPA reviewed a current Child Care Facility Roster and Fire/Disaster drill log during today's inspection. The last fire/disaster drill was completed on November 9, 2021. Licensee has liability insurance for the day care. Licensee has current CPR and First Aid certifications; expiring 01/2023. Licensee has the required vaccines (MMR, Tdap, & flu) and is current with the Mandated Reporter Training for Child Care Workers. LPA reviewed nine children's files and all files were complete with the required forms. LPA reviewed Licensee and staff file (Luz Maria Ortiz) and the file was complete with the required forms.

LPA discussed the safe sleep regulations with the Licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA toured the indoor and outdoor areas of the home during today's inspection. Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children. Licensee states that a child will be isolated in the living room area if necessary due to illness or communicable disease.

SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth BerumenTELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: PANIAGUA, MARIA
FACILITY NUMBER: 274403695
VISIT DATE: 11/12/2021
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The home is clean, orderly, and safe for the day care children. There are no open face heater units inside the home. LPA observed that the fire place in the living room is barricaded by a television and entertainment center. Licensee does not use yard that is located right outside her living room (sliding door is closed and locked today). The lower portion of the backyard is off limits. Licensee is using a fenced area of her front yard (near entry) and uses the side yard for day care; LPA observed that area has a sand box and age appropriate toys. The yard area is enclosed and fenced. Off limit areas inside the home are master bedroom, bathroom in master bedroom and 2 rooms, converted garage is off limits. Licensee states no one is living in the garage.

LPA observed a fully charged 3A40BC fire extinguisher, working smoke/carbon monoxide detectors. Licensee also has a fish tank in the outdoor play area of the home that is secure and safe for the children. Licensee states that she does not have any weapons in the home. All detergents, cleaning compounds, medications, and other similar items are inaccessible to children. The Licensee states that she does administer medication to the day care children; as of now no child requires Incidental Medical Services or medicine.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Supervision of children was discussed with Licensee and she understands that she must be present in the home during day care hours and ensure that the children are supervised at all times. Licensee understands her capacity options and she understands that she cannot have more than 14 children in the home at any time with a qualified assistant. Licensee states that does not transport any day care children. Licensee understands that children shall not be left unattended in parked vehicles and that car seats shall only be used for transportation and shall not be used for sleeping.


To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

LPA requests that Licensee submit an updated Application for a family child care home (LIC 279), (LIC 279 b) and Facility Sketch (LIC 999)

No deficiency cited.

NOTICE OF SITE VISIT WAS ISSUED AND SHALL BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth BerumenTELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2021
LIC809 (FAS) - (06/04)
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