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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844367
Report Date: 08/15/2024
Date Signed: 08/15/2024 12:31:44 PM

Document Has Been Signed on 08/15/2024 12:31 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:AGUINIGA FAMILY CHILD CAREFACILITY NUMBER:
334844367
ADMINISTRATOR/
DIRECTOR:		VERONICA AGUINIGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 281-9133
CITY:HEMETSTATE: CAZIP CODE:
92545
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 11DATE:
08/15/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Veronica AguinigaTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
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On August 15, 2024, at 12:05 pm, Licensing Program Analysts (LPAs) Cindy Hamilton and Sumayya Habeebulla arrived at the facility to conduct a Case Management inspection to discuss the denied exemption and removal of Individual #1 (I1). LPAs met with Licensee Veronica Aguiniga, who was informed of the reason for the premise visit. LPA Habeebulla toured the facility at 12:10 PM and there were 11 children in care at this time with an assistant.

LPA Hamilton explained to Licensee that a request for a criminal record exemption for I1 has been denied. A denied exemption means that this individual may not work or be present in a facility licensed by the Department. Licensee understands that this individual is also prohibited from having contact with clients of any facility licensed by the Department. Per statement from Licensee, I1 applied but never worked at the facility due to the denied clearance and does not reside in the home.

Based upon the evidence obtained during today’s inspection, LPAs have verified that I1 is not present, employed or residing at the facility.

Verification of removal is complete.

No deficiencies were cited during this inspection. A copy of this report, appeal rights and Notice of Site Visit was issued. LPAs verified that it was posted in a prominent location at the facility before leaving and licensee understands that the Notice of Site Visit must remain posted for 30 consecutive days.

This report must be available for review, upon request, for the next 3 years.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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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