444415536-2-10-2025-07-CC-TTRO-DDRVAJ-20250210151601

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444415536
Report Date: 02/06/2025
Date Signed: 02/10/2025 03:16:38 PM

Document Has Been Signed on 02/10/2025 03:16 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	AGUILERA, ALMA		FACILITY NUMBER:	444415536
ADMINISTRATOR/ DIRECTOR:	AGUILERA, ALMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 706-7069
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 4	DATE:	02/06/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:47 PM
MET WITH:	Alma Aguilera		TIME VISIT/ INSPECTION COMPLETED:	04:18 PM

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On 02/06/2025 at 12:45 PM, Licensing Program Analyst (LPA) Teodoro Trujillo met with licensee ALMA AGUILERA, for an annual inspection. Present with licensee were her mother and father who assist with 4 (four) children: Four (4) preschool age. Adults living in the home are license, licensee spouse, licensee mother and father, licensee two adult children, and one adult female only (girlfriend of adult child). There is one minor child living with licensee: 9 years old. Days and hours of operation are Monday through Friday, 08:30 AM to 05:00 PM.

A listing of staff criminal record clearances associated to this facility in the CCL Licensing Information System (LIS) on 2/04/2024 was reviewed and it indicates that all Facility staff or other individuals who require caregiver background clearances have received criminal record and child abuse index clearances or exemptions. Licensee ALMA AGUILERA was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA inspected inside and outside of two-story home. LPA observed home is on top of hill with a drain ditch running parallel inside her fence line and barricaded with a second wooden fence. Licensee owns the home and Licensee states she has liability insurance for a family childcare home (FCCH) with Markel Insurance Company. LPA observed LIC 282 on file. LPA observed a 3A40BC fire extinguisher last serviced 4/11/24. Carbon Monoxide and smoke detectors are operable. LPA observed a barricaded fireplace in the home. LPA observed barricaded stairs. Licensee stated there are no firearms/weapons in the home. Sharp objects, medicines, poisons, and cleaning supplies are inaccessible to the children. Backyard is fenced. Off limits indoor: all of second floor bedrooms with two bathrooms and attached garage. Off Limit outdoor: rear yard and left yard area. Licensee states there are two pet dogs in the home.

Children were supervised during the visit and LPA went over substitute options and reminded licensee they could only have 14 children according to her license. Licensee stated she does transport children, LPA reminded Licensee that children are never to be left in parked vehicles and must use appropriate car seats according to the child's age/weight/size.

Continues report dated 02/06/2025 pg. 1/3

Susy Cervantes	TELEPHONE: (408) 324-2152
Teodoro Trujillo	TELEPHONE: (408) 334-8547
	DATE: 02/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025

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 02/10/2025 03:16 PM - It Cannot Be Edited

Created By: Teodoro Trujillo On 02/06/2025 at 03:01 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: AGUILERA, ALMA	FACILITY NUMBER: 444415536
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/06/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102418(g)(1)

Immunizations

(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above in Child 1(C1) incomplete, C2, C3,C5, C6 missing CDPH 286, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/20/2025
	Plan of Correction
1 2 3 4	Licensee will provide copies of CDPH 286 for all children in care to the San Jose Regional Office by close of business 02/20/25.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Susy Cervantes

TELEPHONE: (408) 324-2148

LICENSING EVALUATOR NAME:

Teodoro Trujillo

TELEPHONE: (408) 334-8547

LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025

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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: AGUILERA, ALMA	FACILITY NUMBER: 444415536
	VISIT DATE: 02/06/2025

NARRATIVE

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Continuation of report dated 02/06/2025 pg. 2/3

LPA observed a current roster of the children in care. LPA observed a fire and disaster drill log last performed on 11/06/24. LPA reviewed 6 children’s files and observed not all required documentation was in compliance. Child 1 (C1) has incomplete CDPH286 Immunization Card, C2, C3, C5, and C6 have missing CDPH286 form. Infant individual sleeping plan (LIC 9227) for each infant under 12 months was discussed. LPA observed licensee and assistants completed Mandated Reporter Training (MRT) on 01/30/24. Licensee has Pediatric CPR/1^st Aid expiring on 08/08/2026 and both assistants expire on 10/19/25. Needed documentation for SB 792 which requires immunization against Pertussis, Measles, and Influenza as well as TB testing is current for licensee, and all adults residing in the home.

Incidental Medical Services (IMS) policy was discussed with the licensee. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The licensee is not providing IMS currently. Licensee will submit an updated plan of operation if in the future they provide any IMS services to a child in care.

LPA discussed the safe sleep regulations with licensee ALMA AGUILERA and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee ALMA AGUILERA 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 they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

Continues report dated 02/06/2025 pg. 2/3

SUPERVISOR'S NAME: Susy Cervantes	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Teodoro Trujillo	TELEPHONE: (408) 334-8547
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025

LIC809 (FAS) - (06/04)

Page: 5 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: AGUILERA, ALMA	FACILITY NUMBER: 444415536
	VISIT DATE: 02/06/2025

NARRATIVE

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Continuation of report dated 02/06/2025 pg. 3/3

Licensee ALMA AGUILERA 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&Rs) throughout California.

During the exit interview, the Licensee ALMA AGUILERA, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Type B Deficiencies were cited today. Licensee was informed that failure to correct the deficiencies by the specified Plan of Correction Due Date will result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

Exit interview conducted and report was reviewed with the licensee ALMA AGUILERA.

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: Susy Cervantes	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Teodoro Trujillo	TELEPHONE: (408) 334-8547
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025

LIC809 (FAS) - (06/04)

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