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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444415536
Report Date: 05/26/2022
Date Signed: 06/01/2022 10:14:15 AM


Document Has Been Signed on 06/01/2022 10:14 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:AGUILERA, ALMAFACILITY NUMBER:
444415536
ADMINISTRATOR:AGUILERA, ALMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 706-7069
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 9DATE:
05/26/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Alma AguileraTIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Elizabeth Berumen met with Licensee, Alma Aguilera
for an unannounced Required – 1 year annual inspection. LPA was granted access to the home by the Licensee. LPA also observed 8 day care children and Licensee's 6 year old son (three infant's and 5 preschoolers) and Assistant, Alicia Jimenez in the home during today's inspection. Licensee was operating within her capacity and ratio requirements. LPA observed the required postings, including the facility license, near the front entrance to the home. Days and hours of operation are Monday - Friday from 6:00 AM to 6:00 PM. The adults residing in the home are: Licensee, her husband (Alfredo Lopez) son (Eric Zavala) and two minor children.

LPA reviewed a Child Care Facility Roster; Roster is complete. LPA observed Fire/Disaster drill log during today's inspection; last practiced drill was May 24, 2022. Licensee's cpr & first aid is valid and expires on 06/25/22. Licensee and Assistant (Alicia Jimenez) has the required vaccines (MMR, Tdap, & flu). Licensee did not have mandated reporter training certificate for herself or assistant available for review. LPA reviewed eight children's files.
LPA inspected the indoor and outdoor areas of the home during today's inspection. Licensee has a working telephone in the home. The home is clean, orderly and safe for the day care children. There are safe & age appropriate toys, play equipment, and materials for the children in the home. LPA did not observe any wall heaters inside the home. LPA observed a barricaded fire place and barricaded stairs. Off limit areas inside the home: entire upstairs, garage and closet. Licensee has a bbq grill in the backyard with propane tank attached. LPA asked Alma Aguilera to remove and store it separately inaccessible to children.

LPA observed a fully charged 3A40BC fire extinguisher, working smoke/carbon monoxide detectors and no bodies of water. The Licensee states that she does have a pet dog. Licensee states there are no weapons in the home. All detergents, cleaning compounds, medications, and other similar items are inaccessible to children. Licensee understands that poisons are to be locked. Licensee states that nobody smokes and she understands that smoking is prohibited in the home.
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth BerumenTELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:
DATE: 05/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/26/2022
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: AGUILERA, ALMA
FACILITY NUMBER: 444415536
VISIT DATE: 05/26/2022
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Supervision of children was discussed with the Licensee and she understands that she must be present in the home during day care hours and ensure that the children are supervised at all times. Licensee understands her capacity/ratio options and she understands that she cannot have more than 14 children present in the home with qualified adult. Licensee states that a child will be isolated in the living room area if necessary due to illness or communicable disease. Licensee states that does not transport any day care children. Licensee understands that children shall not be left unattended in parked vehicles and that car seats shall only be used for transportation and shall not be used for sleeping.

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 the Licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

Exit interview conducted and report was reviewed with the Licensee, Alma Aguilera. No Deficiencies issued during today's inspection.

A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth BerumenTELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022
LIC809 (FAS) - (06/04)
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