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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393621386
Report Date: 03/17/2020
Date Signed: 03/17/2020 01:41:09 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:AGUILAR, CESAR & YESENIAFACILITY NUMBER:
393621386
ADMINISTRATOR:AGUILAR, YESENIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 862-6135
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY:14CENSUS: 5DATE:
03/17/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Yesenia AguilarTIME COMPLETED:
02:55 PM
NARRATIVE
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Yesenia Aguilar is Spanish speaking and Licensing Program Analyst (LPA) Marissa Soto spoke with Yesenia Aguilar in Spanish, and have translated the conversation to English below.

On March 17, 2020 at 11:30am, Licensing Program Analyst (LPA), Marissa Soto met with Licensee, Yesenia Aguilar for an unannounced Annual inspection. Present in the home were Licensee Yesenia supervising 5 children. (Ages: 1 years old, 1 years old, 2 years old, 4 years old, and 5 years old). Licensee stated there are no new residents in the home since licensure, Home is 1 story, 3 bedrooms, 2 bathrooms. Day care hours of operation are Monday-Friday 7:00 AM to 6:00 PM year round with periodic breaks through the year. All adults living in the home have criminal background clearance.
A health and safety inspection was conducted in all areas accessible to children and the following was observed, living room, family room, kitchen, bathroom that children utilize, all three bedrooms and back yard; Off-limits areas are: laundry room and garage. LPA observed hazardous items properly stored out of child reach on high shelves in kitchen/laundry room area. There were no hazardous items located in the bathroom. Medication are stored in the laundry room made inaccessible to children. Fire extinguisher, smoke and carbon monoxide detectors are functional. Toys appear to be safe and age appropriate. There is a pool surrounded by 5'1 mesh fence with a self latching fence. Outdoor play area is free of hazardous and dangerous conditions and is fenced for supervision.

A sample of children’s files were reviewed and determined to be in compliance with licensing requirements. A current roster is being maintained and fire and disaster drills are conducted at least once every six months and are documented on a sheet. At 12:35 LPA did not observe a current pediatric CPR and first aid certification.


Report continues on 809-C
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2020
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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: AGUILAR, CESAR & YESENIA
FACILITY NUMBER: 393621386
VISIT DATE: 03/17/2020
NARRATIVE
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LPA discussed the California Child Care Worker: Mandated Reporter Training with the licensee. LPA observed mandated reporter certificate located in the facility file. The licensee must complete the training every two years starting January 1, 2018 and retain proof of completion in the facility file. The training can be found at: mandatedreporterca.com.

LPA also discussed the Smoking ban, Licensee acknowledged that the home is smoke free. Incidental Medical Services (IMS) policies were also discussed with the licensee. LPA discussed immunization requirements with the licensee. This provider is currently not providing IMS services to children in care. IMS policy was discussed with Licensee. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Lead Poisoning Facts Information Flyer was provided and Licensee was advised that beginning January 1, 2019 a new law (AB 2370) requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families.

LPA advised the licensee on Safe Sleep Practices and SIDS; the licensee stated they are understood. She stated she uses play yards for sleeping infants and understand infants cannot sleep in car seats, swings or other items not intended for sleeping. LPA verified the annual fees are current. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so the licensee can request to be added to the distribution list to receive Quarterly Updates.

In the areas that were evaluated, one deficiency was cited on the attached LIC 809D

This facility evaluation report was reviewed and discussed with the licensee. A Notice of Site Visit was provided and should remain posted for 30 days for parental review. Licensee was encouraged to visit the Department website at WWW.CDSS.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request. Appeal rights provided during today's visit.

SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2020
LIC809 (FAS) - (06/04)
Page: 2 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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: AGUILAR, CESAR & YESENIA
FACILITY NUMBER: 393621386
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/17/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/17/2020
Section Cited

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1596.866 Additional health and safety training;condition of licensure(b)... licensees of family day care homes shall ensure that at least one staff member who has a current course completion card in pediatric first aid & pediatric CPR issued by the American Red Cross... American Heart Association... approved by the Emergency Medical Services...pursuant to this section & Section 1797.191 shall be onsite at all times when children are present at the facility...This requirement was not met as evidence by:
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Based on observations Licensee did not ensure to obtain a current CPR card for Licensee, which poses a potential Health and Safety risk to children in care.
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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: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:
DATE: 03/17/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/17/2020
LIC809 (FAS) - (06/04)
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