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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274408902
Report Date: 12/12/2023
Date Signed: 12/12/2023 04:10:07 PM


Document Has Been Signed on 12/12/2023 04:10 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:MEXICAN AMERICAN OPPORTUNITY FOUNDATION SALINASFACILITY NUMBER:
274408902
ADMINISTRATOR:DELIA VIRGINIA BUENOFACILITY TYPE:
830
ADDRESS:1210 JOHN STREETTELEPHONE:
(831) 758-7425
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:26CENSUS: 9DATE:
12/12/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
01:04 PM
MET WITH:Rozhgar AzizTIME COMPLETED:
04:10 PM
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Licensing Program Analysts (LPA), Elizabeth Larios, met with Director, Rozhgar Aziz, for an unannounced Required - 3 Year inspection. LPA toured the facility both indoor and outdoor areas during today's inspection. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), menus, and Activity Schedule. Days and hours of operation are Monday through Friday 5:30 AM to 5:00 PM. The facility is licensed to serve a maximum of twenty six (26) children ages birth to two (2) years in infant room.

LPA observed that the facility is clean, safe, sanitary, and in good repair for children, staff, and visitors. The facility has adequate ventilation, including central air conditioning/heating. Staff state that the facility has a custodian that cleans the facility Monday through Friday. Director understands that the facility must be kept free of flies and other insects & rodents. LPA observed that all furniture and equipment is in good condition and safe for the children. The infant changing table has raised sides that are at least 3 inches in height. The infant changing table has a vinyl changing pad that is at least 1 inch think and in good condition. Napping equipment is appropriate.

The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. All food and beverages that require refrigeration are stored in covered containers at 45 degrees F or less. The facility provides snacks and breakfast/lunch. The facility has trash cans with tight fitting lids for solid waste. Cleaning supplies are inaccessible to the children. There are no poisons at the facility. LPA observed a complete First Aid kit in the facility. Director states that the facility does not administer any medications at this time. Director understands that smoking is not allowed on the facility premises.

LPA reviewed four children's and four staff files during today's inspection. Each child's file reviewed contains the required forms, including Needs & Services Plans. All staff files reviewed contain the required forms, including transcripts/verification of experience/immunization records, & Health Screening Report. All staff have current certificates of completion of the Mandated Reporter Training for Child Care Workers on file. Last fire/disaster drill was completed on 12/04/023 & 12/05/2023. Staff have current CPR and First Aid certifications on file. Director understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips).
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:
DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/12/2023
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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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: MEXICAN AMERICAN OPPORTUNITY FOUNDATION SALINAS
FACILITY NUMBER: 274408902
VISIT DATE: 12/12/2023
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No deficiencies cited during todays inspection, exit interview conducted with Director, Rozhgar Aziz and a copy of this report was provided.

The annual inspection will be continued on a later date.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023
LIC809 (FAS) - (06/04)
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