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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409753
Report Date: 02/25/2025
Date Signed: 02/25/2025 04:07:43 PM

Document Has Been Signed on 02/25/2025 04:07 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:RUIZ AQUINO, MARIAFACILITY NUMBER:
073409753
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
02/25/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Maria Ruiz Aquino
TIME VISIT/
INSPECTION COMPLETED:
04:21 PM
NARRATIVE
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On 02/25/2025 at 1:30 PM., Licensing Program Analyst (LPA) Kareeca “Reeca” Sykes conducted an ANNOUNCED PRE-LICENSING INSPECTION and met with applicant, Maria Ruiz Aquino. LPA disclosed the purpose of the inspection and was granted entry into the facility by the applicant. Residing in the home is the applicant, the applicants spouse who is fingerprint cleared, and the applicants minor child. Present during the inspection was the applicant and the applicants minor child. The facility was toured to conduct a health and safety inspection. The facility plans to operate Monday – Sunday 7AM- 7PM.

This one story home consists of four (4) bedrooms and one and a half (1 1/2) bathrooms, kitchen, living room, dining room, family room, backyard and garage. The complete facility was observed to be neat and clean with heating and ventilation for safety and comfort of the children.

On-limit-areas:Living Room, Kitchen, Dining Room (Converted to Main Play area) , Bedroom 3 (Converted to Napping / Main play area), Bedroom 2, Bathroom (1/2 Bath located in Converted Dining Room area) and Backyard (Left side area).

Off-limit-areas: Master Bedroom (Bedroom 1) , Bedroom 2, Back yard (Right side area & Far Left side yard walkway) , and Garage
The off-limits are made inaccessible by closed/locked doors, child safety gates and 100% visual supervision.
The outdoor play area is the fully fenced backyard area which LPA observed that is free from defects or dangerous conditions.
The Isolation area will be in a seated area near the nook in the Dining Room (Converted to Main Play Area) away from other children in care.
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SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE: DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/25/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: RUIZ AQUINO, MARIA
FACILITY NUMBER: 073409753
VISIT DATE: 02/25/2025
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There are ample age-appropriate toys that are observed to be safe, clean and in good repair. There are no bodies of water or pools accessible to children in care during today’s inspection. LPA did not observe any hazardous materials or toxins accessible to children during today’s inspection. Applicant stated there is not fireplace in the home.

The home has a fully charged 2A10BC fire extinguisher in the main play area along with a first aid kit. There is a working smoke and carbon monoxide detector in the hallway. The home does have a working telephone. Per applicant there is no pets or firearms in the home. The applicant is in compliance with the immunization laws which pertains to all childcare providers. A copy of the rental agreement was reviewed and shows control of property.

The applicant completed and received a certificate in mandated reporter training which expires 10/29/2026 as well as CPR and First Aid certificate is current and expires 11/23/2026. Applicant was reminded that CPR/First Aid and mandated reporter are to be renewed every two years. The roster of the children must be properly maintained, and fire/disaster drill every six months must be documented. Baby bouncers & drop-down cribs are not allowed at the day-care facility. The applicant is reminded any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing.

Because the applicant rents the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

Applicants was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: RUIZ AQUINO, MARIA
FACILITY NUMBER: 073409753
VISIT DATE: 02/25/2025
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.



LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant 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.

The applicant was provided information regarding effects of Lead Exposure and testing requirements (Assembly Bill 2370).



Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

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SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: RUIZ AQUINO, MARIA
FACILITY NUMBER: 073409753
VISIT DATE: 02/25/2025
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On this date 01/30/25 the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.


LPA informed the applicant that all forms can be downloaded at www.ccld.ca.gov and encouraged the applicant to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

Before the license can be granted the applicant(s) need to:

Submit photo off air conditioner fan in the backyard (Left side yard) has been made inaccessible to children in care to LPA.

Once completed file will be submitted for managers final file review and approval.


Exit interview conducted and report was reviewed with the applicant Maria Ruiz Aquino.

Report was given to applicant Maria Ruiz Aquino.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC809 (FAS) - (06/04)
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