444410968-7-31-2023-07-CC-EBEN-CU4QPH-20230726122047

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444410968
Report Date: 07/26/2023
Date Signed: 07/31/2023 04:42:48 PM

Document Has Been Signed on 07/31/2023 04:42 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:	CASTILLO, SILVIA		FACILITY NUMBER:	444410968
ADMINISTRATOR:	SILVIA CASTILLO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 768-8352
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	14	CENSUS: 3	DATE:	07/26/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Silvia Castillo		TIME COMPLETED:	12:15 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	Licensing Program Analyst (LPA) Elizabeth Berumen met with Licensee, Silvia Castillo for a one year required inspection. Present were 3 children (one infant and two school age). Adults living in the home are licensee, Silvia Castillo, her adult son, Jesus Castillo Ruiz and her husband, Ramon Castillo Sr. Licensee states that her son, Ramon Castillo Jr is not living in the home. LPA obtained his current address. Licensee's 14 year old daughter also lives in the home. Days and hours of operation are Monday through Friday, 6:00am to 6:00pm. LPA and licensee inspected the on limit area of the home. Off limits area are 3 bedrooms, kitchen, living room and 1 bathroom located in the front portion of the home. Licensee uses the back area of the home which was built with a permit in 2015. The room has a bathroom and wall heater is barricaded. Fire extinguisher was last serviced on 02/04/23; carbon and smoke detector were tested and proved to be functioning. There are no bodies of water. Licensee states that there are no firearms/weapons in the home. Medicines, poisons and cleaning supplies are maintained locked and inaccessible to the children. Licensee states that there is a fire place in the living room. Wall heater in day care room area is barricaded. Home is clean and orderly and has proper heating, lighting and ventilation for safety and comfort. LPA observed safe and sufficient toys, play equipment, materials and supplies for the day-care. Telephone is in working order; Licensee's phone number is (831) 254-9017. Licensee understands smoking is prohibited. Last practiced fire drill was on July 7, 2023. LPA obtained a copy of roster. Supervision of children was discussed with the licensee and she understands that she must be present in the home during day care hours and ensure that the children are supervised at all times. *Facility Evaluation Report dated 07/26/23 is continued on next page*

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth Berumen	TELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023

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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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: CASTILLO, SILVIA	FACILITY NUMBER: 444410968
	VISIT DATE: 07/26/2023

NARRATIVE

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LPA reviewed three (3) children’s files during today's inspection for the following records: Notification of Parents Rights (LIC995A), Consent for Emergency Medical Treatment (LIC627), Identification and Emergency Information (LIC700), and Immunization Records. Licensee carries day-care insurance. Infant has 15 minute sleep checks and LIC9227.

LPA reviewed Licensee file. Licensee has immunization's for measles, pertussis and influenza. Licensee's Mandated Reporter Training is current and expires on 07/17/2025. LPA reminded Licensee that Mandated Reporter Training must be renewed by all staff every 2 years. Licensee has CPR and First Aid expires on 02/09/25.

LPA provided and discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also reminded 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 she registers all infant devices with the CPSC to be notified of any recalls on her purchased equipment.

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/process.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&R's) throughout California.

As a result of this visit, there were no deficiencies cited according to Title 22, Division 12, Chapter 3 of the CCR.
Facility site visit notice document was issued and posted and must remain posted for 30 days.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth Berumen	TELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023

LIC809 (FAS) - (06/04)

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