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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274408902
Report Date: 12/18/2023
Date Signed: 12/18/2023 02:49:37 PM


Document Has Been Signed on 12/18/2023 02:49 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:
8317587425
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:26CENSUS: 8DATE:
12/18/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Rozhgar AzizTIME COMPLETED:
02:50 PM
NARRATIVE
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Licensing Program Analysts (LPA), Elizabeth Larios, met with Supervisor, Bianca Gomez for an unannounced Case Management- Annual Continuation 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.

Drinking water is readily available for the children and in the outdoor playground via water bottles. Staff and children's bathrooms are clean, sanitary, and operable. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Director states that there are no weapons or firearms on the premises. The facility has functioning smoke and carbon monoxide detectors in the facility.

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 only. 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 observed the teacher/child ratio within regulation during today's inspection. Director understands the conditions, limitations, and capacity specifications of the facility license. ====CONTINUE ON LIC 809-C====
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2023
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 3


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: 12/18/2023
NARRATIVE
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 Director understands that children shall be visually supervised at all times and never left unattended. Any child(ren) who exhibit symptoms of illness including, but not limited to, fever or vomiting, are not accepted in care. Any child(ren) who become ill during the day, shall be isolated in the infant classroom.

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. LPA observed two children (infants) had a incomplete LIC 9227 Individual Infant Sleeping Plan on file. LPA also observed fifteen minute check charts for infants in care. 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).

Director was reminded that all adults 18 and over, 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 Child Care Center. 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.

Exit interview conducted and report was reviewed with Supervisor Bianca Gomez. Deficiencies issued during today's inspection.

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: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 12/18/2023 02:49 PM - It Cannot Be Edited

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

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101419.2(b)(2)
Infant Needs and Services Plan
(b) The needs and services plan shall be in writing and shall include the following: (2) Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)], which is incorporated by reference.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the Director did not comply with the section cited above in out of two of two infants which poses/posed a potential health, safety or personal rights risk to persons in care. Two infants (C-1&C-2) under 12 months had incomplete LIC 9227 on file.
POC Due Date: 12/26/2023
Plan of Correction
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 BY Plan of Correction (POC) date, Director will send completed LIC 9227 for all infants 0-12 months and send proof to Licensing.
Type B
Section Cited
CCR
101212(b)
Reporting Requirements
(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

This requirement is not met as evidenced by:
Deficient Practice Statement
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The child care director whose last day was on 10/06/23 was not reported to Community Care Licensing within 10 days of a change, which poses a potential risk to the health and safety of children in care. Temporary appointed Director has not submitted proof of qualifications and experience to Licensing.
POC Due Date: 12/26/2023
Plan of Correction
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Facility is in process of submitting the documentation for Temporay Director. Documentation will be submitted by the Plan of Correction (POC) date to Licensing.
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: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3