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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515406344
Report Date: 06/03/2024
Date Signed: 06/03/2024 02:15:06 PM

Document Has Been Signed on 06/03/2024 02:15 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:AGUILAR, EVANGELINA FAMILY CHILD CARE HOMEFACILITY NUMBER:
515406344
ADMINISTRATOR/
DIRECTOR:		AGUILAR, EVANGELINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 632-0339
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
06/03/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Evangelina AguilarTIME VISIT/
INSPECTION COMPLETED:
02:20 PM
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On 6/3/2024 at 1:20pm, LPA Laura Chavez conducted a plan of correction inspection as a follow up to the annual inspection done on 5/14/2024. Upon arrival LPA observed 6 of the 7 children present sleeping, 2 children, one of which is an infant were observed in playpens and 4 toddlers were on nap mats. No blankets or other items were observed in the playpens children were sleeping in. The licensee and 2 assistants were supervising 7 children and operating within the licensed capacity and ratio requirements.

There were no deficiencies cited during today’s inspection.

An exit interview was conducted, and the report was reviewed with Licensee Evangelina Aguilar. 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: 06/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2024
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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