426216240-1-18-2022-17-CC-MJIZ-CASRQ3-20220118121251

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216240
Report Date: 01/18/2022
Date Signed: 01/18/2022 12:13:02 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	AGUILAR FAMILY CHILD CARE		FACILITY NUMBER:	426216240
ADMINISTRATOR:	MARIBEL AGUILAR		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 631-0349
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY:	14	CENSUS: 0	DATE:	01/18/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Maribel Aguilar		TIME COMPLETED:	12:28 PM

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

This is a change of location, previous facility number 173009186.

Due to COVID-19 pandemic, LPA asked the pre-screening questions prior to inspection. Licensee's responses indicate there was no COVID-19 exposure on site.

On 1/18/2022, at 9:30AM, Licensing Program Analyst (LPA) Martina Jimenez conducted an announced change of location, Pre-licensing inspection. LPA met with Maribel Aguilar, Licensee, the purpose of the visit was discussed with the Licensee and together we toured the inside and outside of the home. There were no children in care at the time of the inspection.

Applicant requested a change of location for a large family child care license and a Fire Clearance was granted on 12/29/2021. The home is a two (2) bedroom, two (2) bath, single story home with a detached garage, and an exterior bedroom off the patio. The Applicant will use the living room, dining room, bathroom in the hallway, and backyard. The three (3) bedrooms and bathroom in master bedroom along with detached garage will be off-limits and are inaccessible to children in care. LPA observed all three (3) bedrooms, kitchen and detached garage, with door knob covers and safety gates making these areas inaccessible to children.

LPA observed that knives are stores in a high cabinet with safety latch. LPA observed child size furniture and material for activities. LPA observed the home to be orderly. No bodies of water were observed on site. No toxins nor hazards are accessible to children in care. Detergents and cleaning compounds are stored out of reach of children. The bathroom to be used for children in care was observed to be clean and sanitary.

The back yard is completely fenced and has age appropriate toys and day-care equipment. LPA observed sufficient shade for children to have access to.

CONTINUES 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: AGUILAR FAMILY CHILD CARE	FACILITY NUMBER: 426216240
	VISIT DATE: 01/18/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

There will be two (2) adults living in the home. Applicant has been fingerprint cleared. Applicant’s boyfriend will be moving into the FCCH once he returns from Mexico. Applicant is aware that boyfriend cannot be in the home until his fingerprints are associated with the new facility. Applicant stated that she understands.

LPA did not observe any toxins/hazardous items accessible to children. A regulation 2A10BC fire extinguisher was observed in the kitchen with a purchase date of 12/28/2021. Applicant is reminded to service or purchase the fire extinguisher yearly. LPA observed Applicant test both smoke and carbon monoxide detectors in the home at 10:17 AM and found them to be working properly.

No bodies of water were observed. Licensee stated that there are no weapons/ammunition in the home. Licensee stated she does not hold a foster family license. Licensee is current with immunization required per SB 792.

Applicant's Pediatric First Aid/CPR certificate is valid until April 1, 2023. Applicant has not completed the Lead Preventative Training. Licensee completed the Mandated Reporter Training on November 30, 2021, that is required per AB 1207. Control of property was verified via review of rental Lease.

Licensee is not providing Incidental Medical Services. 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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: htttp://www.ada.gov/childqanda.htm

LPA reviewed the handout "A Child Care Provider's Guide to Safe Sleep" (PIN 20-24-CCP) and Effects of Lead Exposure. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided online at www.ccld.ca.gov.

CONTINUES ON LIC 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: AGUILAR FAMILY CHILD CARE	FACILITY NUMBER: 426216240
	VISIT DATE: 01/18/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LPA observed COVID-19 posters in FCCH. Applicant plans to continue following pre-screening checks, promoting prior hand washing and continuously disinfecting throughout the day.

No deficiencies cited during this visit. The home meets Title 22 of CCR provisional requirements for a Large Family Child Care license effective today. Effective date of provisional license is today January 18, 2022. Provisional license will expire in 90 days if copy of the certificate of the Effect of Lead Training is not submitted by April 18, 2022.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022

LIC809 (FAS) - (06/04)

Page: 3 of 3