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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304314062
Report Date: 03/18/2024
Date Signed: 03/18/2024 02:56:21 PM

Document Has Been Signed on 03/18/2024 02:56 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:URGILES, MAGDALENAFACILITY NUMBER:
304314062
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
03/18/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Licensee, Magdalena UrgilesTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Aidee Nunez conducted an unannounced case management inspection for the purpose of increase in capacity from Small Family Childcare Home to Large Family Childcare Home. LPA met with the Licensee, Magdalena Urgiles, who provided care and supervision to 3 children, which were 3 infants age children. Also present was licensee’s husband who also help with the day care. Currently there are 2 adults including the licensee and no minor children living in the facility.

A review of the Facility Personnel Report Summary indicates adult residents, who require caregiver background check clearances, transfers, exemptions have been obtained and they are cleared.
Licensee stated, she is not currently registered with any Resource Foster Care agency or holds a Resource foster parent license. Licensee was reminded if changes, to notify the licensing office.

Operation hours are Monday to Friday 7:30 AM to 5:30 PM and care and supervision shall be provided to children ages infant and preschool age children.

All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a single-story family home with 4 bedrooms, 2 full bathrooms, living room, and dining room area, kitchen, garage and back yard.

Areas that are used by children were inspected for safety, comfort, cleanliness, telephone service (cell phone is the primary contact phone). Ventilation and heating. There is central heat in the home.
Detergents, cleaning compounds, medicines, sharp objects, and hazardous items that can pose a danger to children are inaccessible in areas designated for children. The Licensee states (that there are no poisons on the premises). Licensee was advised that any poisons must be locked with a key or combination lock.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: URGILES, MAGDALENA
FACILITY NUMBER: 304314062
VISIT DATE: 03/18/2024
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Areas Designated for Day care activities: Parents and children will enter the home, through the main entrance door, leading to day care area. The licensee has designated bedroom # 1 and bedroom # 2, (These two rooms are connected by a sliding door to each other), living room, dining room for day care children. There is one full bathroom designated for children’s use.

The designated day care area is one room which is attached to bedroom # 2 for playing, napping & reading, and day care activities. The children eat in the dining room area. These 2 rooms were observed to have age appropriate activities and educational items for enrolled children. There are 3 play yards for the use of children under 2 years of age and cots for preschool children. Bedding is provided by the licensee. Licensee shall provide ongoing supervision during nap time.

There is a child safety gate installed at the beginning of the kitchen entrance making the kitchen inaccessible to children.

The garage is attached and is next to the bedrooms and has a lock and child proof door knob on it. The garage is in off limit area and is inaccessible to children.

During the inspection, LPA observed the designated off-limits areas were closed and locked.

The licensee will use the cell phone for day care and licensee was informed if a cell phone is used for child care, it must remain on the premises at all times during hours of operation.



The full bathroom is located next to the designated room for children's use. There are cabinets under the sink with safety latches installed. The children's bathroom was observed to be safe and free of hazardous items.

Licensee provides AM/PM snacks and lunch to children. If food is brought from home and these containers shall be labelled with their names by the parents and stored accordingly.

The licensee stated there are no firearms, or weapons in the facility.

The value on the 2A10 BC fire extinguisher indicates fully charged, as indicated on service tag observed. Smoke and carbon monoxide detectors were tested and are operable.



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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2024
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: URGILES, MAGDALENA
FACILITY NUMBER: 304314062
VISIT DATE: 03/18/2024
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LPA's discussed the Safe Sleep practice with the Licensee Maria Rabanal.
Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials
LPA reviewed with applicant the following safe sleep best practices:
· Always place infants on their backs for sleeping.
· Use only a tight-fitting sheet on the crib or play yard mattress.
  • Do not hang any items from the crib or above the crib.

· Keep all items, including blankets, out of the crib or play yard.
· Pacifiers may be used if they do not have items attached to them.
· Infants should not be swaddled or have any items covering them while sleeping.
· The temperature of the room should be comfortable enough for an adult to wear a T-shirt and not be too hot or too cold.
Licensee shall maintain LIC 9227 form & Sleeping plan in the infant file.
Hard copy and link of Child Care Providers Guide to Safe Sleep provided to licensee on this day: https://www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf

OUTDOOR PLAY AREA: Applicant will use the patio for children's outdoor activities. The patio has been separated by baby gate from the side yard which is off limit. The back yard is all fenced. The patio has age appropriate activity items for children in care. It is safe for outdoor activities. The licensee also stated she takes the children to a nearby park with a 6 seater stroller accompany by the assistant.

There are no pets, firearms, weapons, or bodies of water in the home.

The fire extinguisher met the licensing requirements. The applicant has the right size of 2A10 BC fire extinguisher. Smoke and carbon monoxide detectors were tested and are operable. LPA observed the fire extinguisher was mounted high on the wall close to the entrance. Smoke detector/ Carbon Monoxide are mounted on the wall of the living room.



Licensee has completed the required Mandated Reporter Child Abuse training, Health and Safety training with Nutrition and Lead Poisoning component and Pediatric First Aid and CPR which is valid through 04/16/2024. There are first aid supplies available.
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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2024
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: URGILES, MAGDALENA
FACILITY NUMBER: 304314062
VISIT DATE: 03/18/2024
NARRATIVE
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The following was discussed with the licensee: In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current Pediatric First Aid and CPR certification, TB clearance along with a valid criminal record clearance associated to the facility license.


OTHER INFORMATION AND FORMS PROVIDED: Capacity Handout for a Large Family Child Care Home. LPA explained the age requirements for the enrolled children ensuring that when there are 8 children, at least one child is enrolled in Kindergarten or 6 years old, to be in compliance with Title 22 requirements and additional forms were given to the applicant.

LPA reviewed Title 22 Regulation Section 102423 Personal Rights including but not limited to: no intimidation, no humiliation, and no corporal punishment.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

A copy of this report and Appeal rights were presented to the Licensee. The report was read to licensee in Spanish.

Fire clearance was received on 3/11/2024. A license with the change in capacity for 14 children (Large Family Childcare home) will be issued after final review and management approval.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2024
LIC809 (FAS) - (06/04)
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