515406344-3-27-2026-13-CC-MAVS-DSWTFF-20260407144128

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 515406344
Report Date: 03/27/2026
Date Signed: 03/27/2026 04:33:22 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/24/2026 and conducted by Evaluator Laura Chavez

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20260324084857

FACILITY NAME:	AGUILAR, EVANGELINA FAMILY CHILD CARE HOME		FACILITY NUMBER:	515406344
ADMINISTRATOR:	AGUILAR, EVANGELINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 632-0339
CITY:	YUBA CITY	STATE: CA	ZIP CODE:	95993
CAPACITY:	14	CENSUS: 14	DATE:	03/27/2026
		UNANNOUNCED	TIME BEGAN:	03:05 PM
MET WITH:	Evangelina Aguilar		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Absence of supervision: child wandered away from the facility

Licensee failed to report incident to the Department as required

INVESTIGATION FINDINGS:

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On March 27, 2026, at 3:05pm, Licensing Program Analyst (LPA) Laura Chavez conducted an unannounced complaint inspection and met with Licensee Evangelina Aguilar. It was alleged that there was an absence of supervision after a child wandered away from the facility. Specifically, Child #1 (C1) left the facility without the licensee's knowledge. It was also alleged that the licensee failed to report the incident to the Department as required.

On March 25, 2026, an interview with the licensee was conducted at 9:45am, who stated that on Monday, March 23, 2026, at approximately 3:35pm - 3:40pm she picked C1 from preschool. From preschool, the licensee picked up a teenage child from high school at approximately 4:00pm, who is not enrolled in the day care. Licensee said she dropped off the teenage child at approximately 4:20pm - 4:25pm. Licensee stated she returned home with C1 at approximately 4:30pm and parked in the driveway. While in the driveway and still in her vehicle, the licensee said she received and took a phone call, which lasted approximately 15 minutes. Licensee said she got out of her vehicle and went into the home,not realizing she had left C1 in the vehicle.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 13-CC-20260324084857

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: AGUILAR, EVANGELINA FAMILY CHILD CARE HOME	FACILITY NUMBER: 515406344
	VISIT DATE: 03/27/2026

NARRATIVE

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Licensee said at 5:25pm when C1 's parent arrived to pick up C1 is when she realized C1 was missing. Licensee said C1 told her that they got out of the vehicle and attempted to get into the home. After C1 was unable to get into the home, C1 decided to walk home. C1 was located at 4:38pm by a passerby .2 -.3 miles away from the facility. During the course of the investigation LPA Chavez requested and obtained records pertaining to the incident, and after reviewing the records, the timeline provided by the licensee did not match the timelines observed in the records.

The licensee admitted not reporting the incident to the Department as required.

Based on observation, record review and interviews, the preponderance of evidence standard has been met; therefore, the allegations are substantiated.

LPA Laura Chavez informed licensee Evangelina Aguilar that this report, dated March 27, 2026, documents two Type A citations. Type A citation(s), which shall be posted for 30 consecutive days, as there is an immediate risk to the health, safety, or personal rights of children in care.

LPA Laura Chavez informed the licensee to provide a copy of this licensing report dated March 27, 2026 that documents any Type A citation(s) 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.

An exit interview was conducted, and the report was reviewed with the licensee, Evangelina Aguilar. A plan of correction was discussed. Appeal Rights were provided. 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 $100.00.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 13-CC-20260324084857

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: AGUILAR, EVANGELINA FAMILY CHILD CARE HOME	FACILITY NUMBER: 515406344
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/27/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/28/2026 Section Cited HSC 1597.58(c)(2)	1 2 3 4 5 6 7	Absence of supervision, including, but not limited to, a child left unattended, and a child left alone with a person under 18 years of age. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	The licensee agrees to submit a written statement on how she will ensure supervision to children in care and how she will prevent further absence of supervision to any child in care.
	8 9 10 11 12 13 14	the licensee forgetting a child in her vehicle, resulting in the child wandering away from the facility. The department assessed an immediate civil penalty of five hundred dollars ($500).	8 9 10 11 12 13 14	The plan of correction shall be submitted to CCLD on or by 3/28/2026.
Type A 03/28/2026 Section Cited CCR 102416.2(b)(2)	1 2 3 4 5 6 7	Reporting Requirements - The licensee shall report to the Department any of the events as specified in HSC Sections 1597.467(b)(1)(A) through (b)(1 )(C) that occur during the operation of the family child care home. Any absence means any instance where a child in care is missing. For example, any child in	1 2 3 4 5 6 7	The licensee agrees to submit a written statement of how she will ensure to reporti to the Department any unusual incidents/events as specified. The licensee agrees to provide her understanding of timelines required to meet the reporting requirements.
	8 9 10 11 12 13 14	care who wanders away from the family child care home, is lost during an outing, or does not return from school, shall be reported even if the child is later found safe. This requirement is not met as evidenced by: The licensee failing to report C1 wandering away from the facility without her knowledge.	8 9 10 11 12 13 14	The plan of correction shall be submitted to CCLD on or by 3/28/2026.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

LIC9099 (FAS) - (06/04)

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