<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515406344
Report Date: 02/01/2023
Date Signed: 02/01/2023 10:14:49 AM

Document Has Been Signed on 02/01/2023 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:AGUILAR, EVANGELINA FAMILY CHILD CARE HOMEFACILITY NUMBER:
515406344
ADMINISTRATOR:AGUILAR, EVANGELINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 632-0339
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
02/01/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Maria Aguilar de SanchezTIME COMPLETED:
10:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 2/1/2023 at 9:20am a Case Management inspection was made to the facility by Licensing Program Analyst (LPA), Laura Chavez and met with licensee's assistant Maria Aguilar de Sanchez. The inspection is made in response to the licensee having a fence installed around the pool. The fence is a 5 foot mesh fence which does not obscure the pool from view. The gate swings away from the pool, self-closes and has a self-latching device located no more than six inches from the top of the gate. LPA informed licensee's assistant that the fence must be in good repair at all times.

No deficiencies were cited during today's visit.

All licensing reports are public information and must be made available upon request for at least three years.
Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1