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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376624244
Report Date: 01/25/2022
Date Signed: 01/25/2022 04:38:59 PM

Document Has Been Signed on 01/25/2022 04:38 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:AGUILAR, ESTHER FAMILY CHILD CAREFACILITY NUMBER:
376624244
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 9DATE:
01/25/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Esther AguilarTIME COMPLETED:
04:30 PM
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On January 25, 2022, at 12:00 PM, Licensing Program Analysts (LPAs), Edgar Campana and Cindy Meier conducted an unannounced case management inspection with licensee, Esther Aguilar. LPA Campana informed licensee that the purpose of the inspection was for the requested change of capacity. Inspection was conducted in Spanish, per Licensee's request. Licensee led LPAs on a tour of the facility. There were nine (9) children, four (4) of whom are infants and two (2) staff at the facility during the time of the inspection. Facility is out of capacity and a deficiency was cited - see LIC 809-D.
 
On 10/20/2021, a fire clearance was approved for 14 children. Licensee will use the following areas for child care: living room, bedroom 1, kitchen and bathroom, and front yard. The off limits areas are: bedroom 2 and bedroom 3 and are made inaccessible with door knob covers. There are no bodies of water observed during time of inspection. There are sufficient age appropriate toys, games, and books available. The home was clean and orderly during inspection. The fire extinguisher is rated 2-A;10; BC, smoke alarm and carbon monoxide detector are operational. There is a working telephone in the home and all required forms are posted. Licensee stated that there are NO firearms or ammunition on the property. All adults living or working in the home have been fingerprint cleared and associated. LPA reviewed children's files and emergency drill log. Last fire/disaster drill was conducted 08/04/2021. Pediatric CPR and First Aid certification expire 05/2023. LPA discussed with Licensee maintaining supervision of day children at all times. LPA reviewed the following with licensee: SIDS, car seat law, reporting requirements, shaken baby syndrome, care and supervision, and COVID-19 precautions/guidelines. Licensee was also reminded the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Corporal punishment and smoking are not allowed in the day care.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Edgar Campana
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: AGUILAR, ESTHER FAMILY CHILD CARE
FACILITY NUMBER: 376624244
VISIT DATE: 01/25/2022
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Licensee 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 webpage 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.

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.html

LPA Campana informed licensee Esther Aguilar that this report dated 01/25/2022 documents two Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Campana informed the licensee to provide a copy of this licensing report dated 01/25/2022 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Edgar Campana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2022
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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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: AGUILAR, ESTHER FAMILY CHILD CARE
FACILITY NUMBER: 376624244
VISIT DATE: 01/25/2022
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A Type A deficiency under California Code of Regulations, Title 22, Division 12 & Chapter 1, is being cited on the attached LIC 809D. Appeal Rights were discussed and provided. The signature at the bottom of this report confirms receipt. 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.

Granting of Large family child care home license will be postponed pending further review by the Department.


Exit interview conducted and report was reviewed with the licensee Esther Aguilar in Spanish.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Edgar Campana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2022
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Document Has Been Signed on 01/25/2022 04:38 PM - It Cannot Be Edited


Created By: Edgar Campana On 01/25/2022 at 02:43 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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: AGUILAR, ESTHER FAMILY CHILD CARE
FACILITY NUMBER: 376624244

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/25/2022
Section Cited
CCR
102416.5(a)

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102416.5(a) Staffing Ratio and Capacity: For a Small Family Child Care Home, the capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This requirement is not met as evidenced by:
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Licensee called the parents of three daycare children for immeadiate pick up from facility. Additionally, Licensee stated that she will watch Department videos on Capacity and Ratio and will adhere to capacity regulations going forward.
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Based on LPA observations and interviews, Licensee did not ensure that facility was operating within capacity limits, by caring for nine children of which four are infants, which poses an immediate health, and safety risk to persons in care.
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Type A
01/25/2022
Section Cited
CCR102425(b)

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102425 Infant Safe Sleep: (b) Cribs or play yards shall be free from all loose articles and objects. This requirement was not met as evidenced by:
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Licensee immediately cleared all infant cribs from loose articles and objects. Licensee stated that she will review Safe Sleep Regulations, PIN 20-24 CCP, and Safe Sleep FAQ's from June 2021.
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Based on LPA observations, Licensee did not ensure that infant cribs were free from loose articles and objects which poses an immediate risk to the health and safety of children 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:Jason Garay
LICENSING EVALUATOR NAME:Edgar Campana
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2022


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Document Has Been Signed on 01/25/2022 04:38 PM - It Cannot Be Edited


Created By: Edgar Campana On 01/25/2022 at 03:08 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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: AGUILAR, ESTHER FAMILY CHILD CARE
FACILITY NUMBER: 376624244

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/25/2022
Section Cited
CCR
102417(g)(7)

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102417: Operation of a Family Child Care Home: (g)(7)
An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency…
This requirement was not met as evidenced by:
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Licensee stated that she will watch "Record Keeping in Family Child Care" video and will submit a summary report to the Department by 02/25/2022. Licensee was also provided LIC 311D for reference.
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Based on observation and interview, Licensee did not ensure that all children under care have appropriate emergency contact information on file, which poses a potential risk to the health and safety of children 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:Jason Garay
LICENSING EVALUATOR NAME:Edgar Campana
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2022


LIC809 (FAS) - (06/04)
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