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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003927
Report Date: 08/16/2024
Date Signed: 08/16/2024 04:29:58 PM

Document Has Been Signed on 08/16/2024 04:29 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:AGUILERA FAMILY CHILD CAREFACILITY NUMBER:
198003927
ADMINISTRATOR/
DIRECTOR:		AGUILERA, LINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 338-2107
CITY:BALDWIN PARKSTATE: CAZIP CODE:
91706
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 3DATE:
08/16/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Licensee Linda AguileraTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
NARRATIVE
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Licensing Program Analysts (LPA) Mary Silva conducted an unannounced POC (plan of correction) inspection to insure the 4 Type B deficiencies cited on 07/09/2024 have been cleared. LPA met with licensee Linda Aguilera, who guided analyst on a tour of the facility. There were two children present during this inspection- 1 being infants. The following was observed:

- Sleep log documentation for both infants enrolled.

- Current CPR certification for licensee and assistant.

- Current Mandated Reporter Training Certificate (AB1207) for Licensee and assistant.

- LIC 282 Affidavit/Liability Insurance and LIC 995A Notification of Parents Rights was missing for child #1, child #2 & child #3.

- Immunization records were missing for child #1, child #2 & child #3

LPA advised the licensee how to access forms, regulations, and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov

Based on the LPA observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.


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.

Exit interview conducted and report was reviewed with Licensee, Linda Aguilera.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2024
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 08/16/2024 04:29 PM - It Cannot Be Edited


Created By: Mary Silva On 08/16/2024 at 01:15 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: AGUILERA FAMILY CHILD CARE
FACILITY NUMBER: 198003927

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2024
Section Cited
CCR
102418(a)

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(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.
This requirement is not met as evidenced by:
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Per licensee will request immunization records for three children in care and submit copy to department by POC due date.
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Based on record review, the licensee did not comply with the section cited above in three out of three children files were missing immunization records which poses/posed a potential health, safety or personal rights risk to persons 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:Christina Gabelman
LICENSING EVALUATOR NAME:Mary Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2024


LIC809 (FAS) - (06/04)
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