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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004961
Report Date: 04/10/2024
Date Signed: 04/10/2024 10:16:48 AM

Document Has Been Signed on 04/10/2024 10:16 AM - 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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:AGUILAR - VALENCIA, MARIA GUADALUPEFACILITY NUMBER:
414004961
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
04/10/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Licensee, Maria G. Aguilar-ValenciaTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On April 10th, 2024 at approximately 8:30am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced, plan of correction (POC) and an Increase of Capacity inspection. Upon entering the home, licensee's assistant was present with 1 infant and 1 preschool age child. Approximately 10 minutes later, licensee arrived with her own children (1 infant and 1 preschool age). Present in the facility then were licensee and licensee's assistant with 2 infants and 2 preschool age children. Facility is operating within capacity ratios at this time. Per licensee, 2 school age children may arrive at a later time. All adults living and working at the facility are fingerprint cleared and associated.

On April 3rd, 2024, LPA met with licensee to conduct an annual inspection and an increase of capacity inspection. During the inspection, LPA determined facility had been operating over capacity with 8 children (4 infants and 4 preschool age). LPA issued a Type A citation for operating over licensed capacity limits. A POC was developed with licensee. As well as capacity limits were explained to licensee.

As of this date, LPA observed that the deficiency was cleared, and facility is operating within capacity limits with 2 infants and 2 preschool age children present.

During today's visit, LPA observed that the deficiency page and Notice of Site Visit from 04/03/24 were posted. LPA also observed that LIC 9224 were signed by parents.

Due to the space, Fire Department asked licensee to open up Bedroom #3 for more space. During today's inspection, LPA also observed Bedroom #3 to be set up with children's materials. LPA observed that the room is free of hazards. Licensee has equipped bedroom with pack and play for children to sleep. Per licensee, she will use it as a multipurpose room, either for sleep and/or set up with activities. LPA will approve Bedroom #3 as of today.

New Daycare areas are: Living Room, Dining Room, Bathroom #1, Bedroom #2 and #3, front yard, and backyard. OFF limit areas: Bedroom #1, Kitchen (pass through only), and Both Side yards. All off limit areas are properly barricaded, including closets.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE: DATE: 04/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/10/2024
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: AGUILAR - VALENCIA, MARIA GUADALUPE
FACILITY NUMBER: 414004961
VISIT DATE: 04/10/2024
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On 4/03/24, LPA did not approve large license as licensee was out of compliance and Bedroom #3 was not set up.

Fire Clearance was received by Redwood City Fire Department on 3/21/24. During today's inspection, LPA went over Capacity limitations with licensee. Fire Alarm is set up in the living room wall next to the main door. Emergency Exits are the main door and the through the left side yard. Licensee has a permanent assistant. LPA explained that when no assistant is present, licensee must operate as a Small Family Child Care License.

LPA will approve a Large Family Child Care License as of today, 4/10/24.

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

Exit interview was conducted and report was reviewed with the licensee, Maria G. Aguilar-Valencia.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2024
LIC809 (FAS) - (06/04)
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