<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215518
Report Date: 03/09/2020
Date Signed: 03/09/2020 01:49:58 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:AGUIRRE FAMILY CHILD CAREFACILITY NUMBER:
566215518
ADMINISTRATOR:HILDA AGUIRREFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 216-3699
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:14CENSUS: 6DATE:
03/09/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Hilda AguirreTIME COMPLETED:
02:05 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) Michael Avila made an unannounced visit for the purpose of conducting a Case Management inspection. LPA Avila met with Licensee Hilda Aguirre and discussed the nature and purpose of the visit.

On 2/28/2020, Licensee self-reported an incident where at 10:35am while in the backyard, a child (C1) was observed choking while in her care. Licensee had given a cup of water to the child and the child began coughing uncontrollably to the point Licensee had to apply first-aid/cpr to assist the child to breath. The coughing subsequently subsided and Licensee called the child's parent who shortly came and picked up their child to seek medical attention.

LPA Avila reviewed LIcensee's CPR/First-Aid is currently until 1/21/2021.

Based on Licensee's observation and quick reaction in administering CPR/First-Aid of the child, LPA deemed the care and supervision was appropriate in preventing serious harm of the child in her care.

No deficiencies were issued as a result of this inspection visit.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020
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 1