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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376611589
Report Date: 03/08/2023
Date Signed: 03/08/2023 05:38:45 PM


Document Has Been Signed on 03/08/2023 05:38 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108



FACILITY NAME:AGUILAR, MARIA FAMILY CHILD CAREFACILITY NUMBER:
376611589
ADMINISTRATOR:AGUILAR, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 585-7196
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 7DATE:
03/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Maria AguilarTIME COMPLETED:
05:55 PM
NARRATIVE
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On 3/08/2023 at 1:35 pm, Licensing Program Analyst (LPA) Claudia Amador and Licensing Program Manager (LPM)Jason Garay conducted an unannounced Annual Inspection and met with Licensee Maria Aguilar. LPA disclosed the purpose of the inspection. The LPA and Licensee toured the facility. The facility is a one-story, three-bedroom, three-bathroom home. The following areas are used for childcare: dining room, living room, kitchen, small play room #1, playroom #2, and day-care bathroom. Off-limits areas include three bedrooms, two bathrooms,garage, and an additional dwelling unit in the back yard, which is currently a storage room. Off-limit rooms are inaccessible through locks and doorknob covers. Licensee to submit an updated facility sketch (LIC 999) to the LPA by 4/08/2023. No fireplace was observed during the inspection. Hours of operation hours are Monday – Friday, 6:00 am to 6:00 pm. There were seven (7) children present during the inspection, three (3) infants and four (4) preschoolers, and one (1) assistant.

The fire extinguisher, smoke detector, and carbon monoxide detector met the requirements. During the inspection the LPA reminded the licensee that hazardous items are to be made inaccessible to children in care even in areas not primarily used for day care. Licensee stated that poisons are stored in the garage which is locked. LPA observed toys and materials available for children's use. The home has a fenced backyard available for outdoor activities. LPA informed the Licensee to ensure children are supervised at all times during outdoor activities. The Licensee stated there are no bodies of water, however LPA observed an empty plastic wading pool stored on the side of the dwelling unit. Licensee understands that the wading pool is to be empty when not in use and complete supervision of the children when in use. The Licensee said there were no firearms, other weapons, or ammunition in the home.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Claudia AmadorTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2023
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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Document Has Been Signed on 03/08/2023 05:38 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108


FACILITY NAME: AGUILAR, MARIA FAMILY CHILD CARE

FACILITY NUMBER: 376611589

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102425(a)(3)
Infant Safe Sleep
(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. As an infant was sleeping on a mattress with no fitted sheet, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/08/2023
Plan of Correction
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The licensee removed the child during the inspection. The licensee said the fitted sheet was soiled and so she used a baby blanket to replace the fitted sheet.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Claudia AmadorTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2023
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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: AGUILAR, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376611589
VISIT DATE: 03/08/2023
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A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal records and child abuse clearances or exemptions. Licensee's adult son occasionally assists with day care. LPA reminded the licensee to maintain a personnel file for her son.LPA reviewed children's files. The children's files reviewed were complete and met regulations. The 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 the 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.

Licensee's Mandated Reporter AB1207 training expires 11/2023. Pediatric CPR and First Aid certifications expire on 03/2023.
The licensee is the homeowner. Per the file review, the Licensee has required immunizations. The facility roster is maintained. The last fire and disaster drills were conducted and documented on 1/26/23. Required documents are posted. There is a play yard for each infant who cannot climb out of the play yard.

The Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to the publication:
Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA discussed safe sleep regulations with Licensee and the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.The LPA observed an infant sleeping on a mattress with no fitted sheet. A baby size comforter was used to cover the mattress. The licensee removed the infant from the play yard during the visit. A bottle and a plush toy were in the play yard while the child was napping.The objects were immediately removed.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Claudia AmadorTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: AGUILAR, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376611589
VISIT DATE: 03/08/2023
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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 registering all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA and Licensee discussed California Megan's Law, and LPA provided: www.meganslaw.ca.gov. LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov.
In addition, for general questions or questions regarding licensing requirements, contact the Child Care Licensing Duty Line at (619) 767-2248. LIC 624 reviewed.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters, and other important information communication platforms. To receive important licensed-related information about licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. LPA reviewed with Licensee the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children's forms/records, facility forms/records, and information to be posted.

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/‌inspection-process.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Claudia AmadorTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: AGUILAR, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376611589
VISIT DATE: 03/08/2023
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(Per California Code of Regulations, (Title 22, Division 12 & Chapter 3) one (1) Type A deficiency is being cited on the attached LIC 809-D.)

LPA Claudia Amador informed licensee Maria Aguilar that this report dated 3/08/2023 document(s) one (1) Type A deficiency. Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Claudia Amador informed the licensee Maria Aguilar to provide a copy of this licensing report dated 3/08/2023 that documents any Type A deficiency to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the licensee Maria Aguilar. LICENSEE RIGHTS, (LIC 9058) (3/22) were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Claudia AmadorTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC809 (FAS) - (06/04)
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