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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393616496
Report Date: 03/27/2024
Date Signed: 03/27/2024 12:06:20 PM


Document Has Been Signed on 03/27/2024 12:06 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:AGUILAR, CRISTIANEFACILITY NUMBER:
393616496
ADMINISTRATOR:AGUILAR, CRISTIANEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 594-3945
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY:14CENSUS: 6DATE:
03/27/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Cristiane AguilarTIME COMPLETED:
12:25 PM
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On 03/27/24, Licensing Program Analyst (LPA), Elvira Sierra, conducted a POC (Plan of Correction) inspection and met with Cristiane Aguilar. Present during the inspections was Licensee caring for 6 children.

Current pediatric cardiopulmonary resuscitation and pediatric first aid was observed for Licensee's husband and son. Backyard was cleaned and Licensee was advised that before children enter the backyard to make sure there is no potential hazards or any animal feces in the backyard.

Deficiencies issued on 03/14/24 have been cleared.

***No deficiencies cited against the facility under CCR, Title 22, Div. 12, Chapt. 1.***. Exit interview was conducted. This report was reviewed and discussed with the Licensee, Cristiane Aguilar.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:
DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2024
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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