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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216240
Report Date: 09/12/2024
Date Signed: 09/12/2024 12:25:59 PM

Document Has Been Signed on 09/12/2024 12:25 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:AGUILAR FAMILY CHILD CAREFACILITY NUMBER:
426216240
ADMINISTRATOR/
DIRECTOR:		MARIBEL AGUILARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 631-0349
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
09/12/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:46 AM
MET WITH:Maribel Aguilar TIME VISIT/
INSPECTION COMPLETED:
12:45 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Martina Jimenez and Shane Loftus, conducted an unannounced Plan of Correction for the Inspection conducted on 6/17/2024 and met with Maribel Aguilar, Licensee, Pablo Villa-Garcia, assistant. The purpose of the visit was discussed.

LPAs together with the licensee toured the home inside and out. LPAs observed three (3) infants and eight (8) children present, during the inspection.

LPAs observed on the living floor a bag Miracle-Gro potting mix accessible to children in care. The licensee stated licensee's minor child was going to pot a plant in the front yard the night before leaving the bag of potting mix on the living room floor accessible to children in care.

LPAs also observed one pac-N-play and one crib located in the living room. The licensee stated that one infant does not sleep and if the infant does sleep the licensee will lay a mat on the floor for the infant to sleep on because licensee only has the two napping equipment mentioned above.

Continues on LIC809C & LIC809D
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2024
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: AGUILAR FAMILY CHILD CARE
FACILITY NUMBER: 426216240
VISIT DATE: 09/12/2024
NARRATIVE
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 The following deficiencies cited during a case management inspection on 6/17/2024 has been cleared:
102417(g)(1) The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.
102425(j)(2)(B) The provider shall check and document the following: Signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness.

102423(a)(2) (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Today’s inspection was conducted in Spanish by LPA Jimenez. This report was translated in Spanish by LPA Jimenez. Spanish Appeal rights provided to licensee. Licensee was provided the Acknowledgement of Receipt (LIC 9224). Parents shall receive a copy of LIC809, LIC8099C, and LIC809D. Each parent/guardian shall sign an LIC 9224 with copies maintained in each child's file. Every parent enrolling a new child in the FCCH shall receive a copy of the report and sign a LIC 9224 for the next twelve months. A copy of this report was reviewed and provided to the Licensee.

THIS REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS. LPAs observed the "Notice of Site Visit" posted. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/12/2024 12:25 PM - It Cannot Be Edited


Created By: Martina Jimenez On 09/12/2024 at 11:30 AM
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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: AGUILAR FAMILY CHILD CARE
FACILITY NUMBER: 426216240

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/13/2024
Section Cited
CCR
102423(a)(2)

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(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by:
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Licensee will submit a written statement on how licensee will prevent future incidents from occurring to CCLD by 9/13/2024, via email: Martina.Jimenez@dss.ca.gov
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LPAs also observed one pac-N-play and one crib located in the living room. The licensee stated that one infant does not sleep and if the infant does sleep the licensee will lay a mat on the floor for the infant to sleep on because licensee only has the two napping equipment mentioned above.
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which poses an immediate health, safety or personal rights risk to persons in care.
Type A
09/13/2024
Section Cited
CCR102417(g)(4)

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(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: (4) Poisons, detergents, cleaning compounds, medicines...pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by:
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Licensee removed the potting mix from the living room and placed it in an area that is not accessible to children. Licensee agrees to conducted a daily walk through of the home prior to providing care to the child. Licensee agrees to submit a written statement on how licensee will prevent future incidents from occurring to Martina.Jimenez@dss.ca.gov by 9/13/24
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LPAs observed on the living floor a bag Miracle-Gro potting mix accessible to children in care. The licensee stated licensee's minor child was going to pot a plant in the front yard the night before leaving the bag of potting mix on the living room floor accessible to children in care.
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This is a potential risk to the health and safety of children in care.
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:Maria Mueller
LICENSING EVALUATOR NAME:Martina Jimenez
LICENSING EVALUATOR SIGNATURE:
DATE: 09/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/12/2024


LIC809 (FAS) - (06/04)
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