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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409271
Report Date: 10/13/2023
Date Signed: 10/13/2023 05:22:38 PM

Document Has Been Signed on 10/13/2023 05:22 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:MAGANA CASTILLO, RAQUELFACILITY NUMBER:
073409271
ADMINISTRATOR:MAGANA CASTILLO, RAQUELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 778-5872
CITY:RICHMONDSTATE: CAZIP CODE:
94805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 11DATE:
10/13/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Raquel Magana CastilloTIME COMPLETED:
05:00 PM
NARRATIVE
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On 10/13/2023 at 4:00 PM, Licensing Program Analysts (LPAs) Christina Watts and Ashley Akinleye conducted a Case Management Inspection at Raquel Magana Castillo's large family home. During today's inspection, there were 11 children in care (5 infants, 5 preschoolers and 1 school age child). Also present during inspection was an assistant. All adults caring and supervising children have Criminal Record Clearance.

LPA's were conducting an inspection of facility and LPA's observed facility caring and supervising 5 infants. Licensee stated 1 of the infant children comes infrequently to the facility however infant was present during today's inspection. LPA's reminded licensee day care needs to be operated within the limitations and capacity of a Large Family Child Care Home with regards to ratios. This is a violation of the California Code of Regulations, Title 22

LPA Christina Watts informed Raquel Magana Castillo that this report dated 10/13/2023 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care.

*SEE LIC 809-D FOR DEFICIENCIES*

Exit interview conducted and report was reviewed with the licensee, Raquel Magana Castillo. A notice of site visit was given and must remain posted for 30 consecutive days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2023
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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Document Has Been Signed on 10/13/2023 05:22 PM - It Cannot Be Edited


Created By: Christina Watts On 10/13/2023 at 02:52 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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: MAGANA CASTILLO, RAQUEL
FACILITY NUMBER: 073409271

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/17/2023
Section Cited
CCR
102416.5(d)(1)

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102416.5 Staffing Ratio and Capacity(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home...shall be either: (1) Twelve children, no more than four of whom may be infants..
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By COB 10/17/2023, Licensee will submit a statement on how she will come back into compliance.
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This requirement has not been met as evidenced by: Licensee was supervising and caring for 5 infants which poses an potential risk to the health, safety or personal rights of 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:Sherelle Johnson
LICENSING EVALUATOR NAME:Christina Watts
LICENSING EVALUATOR SIGNATURE:
DATE: 10/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/13/2023


LIC809 (FAS) - (06/04)
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