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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274415970
Report Date: 11/08/2021
Date Signed: 11/08/2021 12:27:11 PM

Document Has Been Signed on 11/08/2021 12:27 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:AVILES VARGAS, MAGALYFACILITY NUMBER:
274415970
ADMINISTRATOR:MAGALY AVILES VARGASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 585-2393
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 2DATE:
11/08/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Magaly Aviles VargasTIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Fermin Campos-Jaramillo conducted an unannounced annual required inspection to the home today. LPA met with licensee Magaly Aviles Vargas The adults that reside in the home are the licensee, her husband Jose Luis (present), her father in law Jose L.(present), and her husband's uncle Javier. Also in the home reside licensee's minor children ages 17, 12, and 8 years old. LPA observed there were two children in care included one infant and one preschool age. Licensee's CPR and First Aid certifications are current and will expire on 11/07/22 for both licensee and her spouse and helper.

Days and hours of operation are Monday to Sunday from 5:00 AM to 4:00 AM. LPA obtained a copy of the children's roster. Licensee has documented a fire drill on 10/21/21. LPA reviewed eight children's files and are complete including a Parent's Rights form and the immunization records form. Licensee has a working telephone in the home.
LPA toured the indoor and outdoor areas during today's inspection. LPA observed the home does not have wall heaters and has central heating. Off limit areas inside the home: All the second floor which includes 5 bedrooms and two bathrooms; and in the first floor: the laundry room, and the attached garage. LPA observed a fully charged 3A40BC fire extinguisher last time services on 5/17/21, and at least one working smoke detector. LPA observed the home has installed at least one working carbon monoxide detector. Off limits outdoor areas are: A storage shed in the back yard. LPA did not observed any bodies of water. LPA observed the home's back and side yards are fenced. Licensee uses the back yard as playground. LPA observed the home has barricaded stairs. LPA observed the home does not have a fireplace.
Licensee states that there are no weapons in the home. LPA observed a fish tank located in the on limits child care area. LPA observed the tank is fastened to a wall and firmly secured to a wall. LPA observed the tank has a lid and the lid is unreachable for the children. Licensee stated she does not have any other pets.
LPA reminded licensee that smoking, baby walkers, bouncers, jumpers, and similar items are not allowed in Family Child Care Homes.
**********************Report dated 11/08/21 continues on page 2
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2021
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: AVILES VARGAS, MAGALY
FACILITY NUMBER: 274415970
VISIT DATE: 11/08/2021
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Report dated 11/08/21 continues from page 1.

The Licensee understands her capacity options and she understands that she cannot have more than 14 children in the home at any time, the ratio must be observed and a qualified assistant must be present.
Licensee understands that her child(ren) residing in her home count in the capacity of a licensee until child(ren) reach the age of ten.
Licensee states that she and sometimes her husband transport children via vehicle and she understands that children cannot be left in parked vehicles unattended at any time.
LPA observed proof of immunization for measles, pertussis and opt out statement for influenza are in file for licensee.
Licensee and her husband have completed the "mandated reporter" training AB1207 on 5/05/21 and licensee understands the training shall be renewed every two years. LPA referred the licensee to the training website www.mandatedreporterca.com for additional information.


A review of staff records on 11/02/21 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee Magaly 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.
LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee 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.

Report dated 11/08/21 continues on page 3.

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: AVILES VARGAS, MAGALY
FACILITY NUMBER: 274415970
VISIT DATE: 11/08/2021
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Report dated 11/08/21 continues from page 2.

Incidental Medical services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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)/ (800)514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Exit interview conducted and report was reviewed with the licensee Magaly Aviles

No deficiencies were cited today.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021
LIC809 (FAS) - (06/04)
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