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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274417602
Report Date: 11/21/2024
Date Signed: 11/21/2024 12:14:37 PM

Document Has Been Signed on 11/21/2024 12:14 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ARANO USCANGA, SISYFACILITY NUMBER:
274417602
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 7CENSUS: 1DATE:
11/21/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Sisy Arano UscangaTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Martha Jimenez-Villanueva made an unannounced Case Management Inspection in response to a request to increase the capacity. LPA met with Licensee, Sisy Arano Uscanga and explained to her the purpose of today's visit. Licensee was alone with no children in care. However, Licensee was with your own children in the home. Licensee stated visited Emergency Room because her child six year old was sick in the early morning. Adults living in the home are herself and her husband. Licensee stated her six year old daughter and her eleven years old residing in the home. The home is a single story home located in a mobile home park with three (3) bedrooms and two (2) bathrooms. Fire clearance was granted on November 15, 2024, by City of Salinas Fire Prevention.

Licensee stated that the day-care is open Monday – Friday from 6:00AM to 5:30PM. Licensee understands that the children cannot stay in the home for more than 24 continue hours. Licensee have completed the Preventative Health and Safety Training including Nutrition and Lead Poisoning Prevention and a copy of the certification is on file. Licensee's CPR and First Aid certifications are current and expire on July, 2026. Licensee's Mandated Reporter Training was completed on March 26, 2024. LPA reminded licensee that Mandated Reporter Training for Child Care Providers shall be renewed by all staff every two years from completion date.

Licensee was informed that if eventually a large license is granted, the maximum capacity is 14 and a qualified helper is required to be present whenever there are more than 8 children in care and ratio (age of the children) must be observed. Licensee understands that in absence of a qualified helper, her license capacity automatically returns to capacity 8 and ratio must be observed as well. Graphical material showing ratio for a large FCCH license was provided to the licensee.

LPA inspected the indoor and outdoor areas of the home. LPA observed a fully 3A40BC fire extinguisher that was serviced on 11/05/2024, functioning smoke and carbon monoxide detectors, no stairs, no bodies of water and no wall heater in the home. Off limits areas are: master bedroom 1 with bathroom, bedroom 2, bedroom 3 and hallway washroom inside and outside right side carport area, right side wood storage shed and rear back yard. On limits for day-care: Living room, kitchen/dinning room and hallway bathroom inside and outside. left side play area. The outside play area is gated. The backyard is fenced.
Report Continues in 809-C page 2.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Martha Jimenez-Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: ARANO USCANGA, SISY
FACILITY NUMBER: 274417602
VISIT DATE: 11/21/2024
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Report 809-C page 2.

Cleaning products, sharp objects, and other similar items are stored inaccessible to children. LPA observed sufficient toys, supplies, and equipment for the day care children. Licensee stated that there are no pets and no weapons in the home.

A review of staff records on 11/20//2024 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 was reminded that all the adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

During the exit interview, the LICENSEE SISY ARANO USCANGA confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

No deficiencies were cited today. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee, Sisy Arano Uscanga in Spanish.

Licensee Sisy Arano Uscanga was informed that a Large Family Child Care Home license would be approved pending on the following: 1) Approval from a manager of the Licensing Program.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Martha Jimenez-Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC809 (FAS) - (06/04)
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