157700051-5-17-2021-12-CC-IORA-C34S24-20210517132854

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 157700051
Report Date: 05/14/2021
Date Signed: 05/17/2021 01:29:50 PM

Document Has Been Signed on 05/17/2021 01:29 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	ARAGON FAMILY CHILD CARE		FACILITY NUMBER:	157700051
ADMINISTRATOR:	JULISSA ARAGON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 559-1707
CITY:	ARVIN	STATE: CA	ZIP CODE:	93203
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	05/14/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Julissa Aragon		TIME COMPLETED:	02:00 PM

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 5/14/2021 at 12:30 p.m., Licensing Program Analysts (LPA) Isabel Ortega virtually conduct an announced prelicensing inspection for a Small Family Child Care Home. LPA was greeted by applicant, Julissa Aragon, who guided the LPA on a tour of the facility. The applicant will operate Monday through Saturday: 4:00 a.m. to 7:00 p.m. The applicant will provide breakfast, snack, lunch, and dinner as needed. Applicant plans to enroll in a food nutrition program. Applicant plans to offer transportation and has a valid driver’s license and auto insurance. This is a two-story family home which consists of four bedrooms, three bathrooms, a kitchen, dining room, living room, laundry room, shed and attached garage. The living and dinning room will be the primary location in which care is provided. Children will use the bathroom located to the left of the hallway by the entrance of the home. The backyard is will be utilized for outside play(shaded area observed). The off-limit areas include the entire upstairs portion of the home, all four bedrooms(second floor), two bathrooms(second floor), laundry room(second floor), shed(key locked) and attached garage(child safety knob observed). The stairs have been made inaccessible to children in care as the applicant has placed a child safety gate at the bottom of the staircase.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2021

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ARAGON FAMILY CHILD CARE	FACILITY NUMBER: 157700051
	VISIT DATE: 05/14/2021

NARRATIVE

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The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and center air ventilation. The home has age appropriate toys, play equipment and materials. Applicant stores sharp knives, medications in an inaccessible top kitchen cabinet. Applicant has a complete First Aid Kit in the home, which is stored inaccessible to children. Cleaning solutions and supplies are stored underneath the sink, the kitchen openings(two) have a child safety gate making the kitchen inaccessible to children. Children will be provided with cots and/or mats for nap time. There is no fire place nor bodies of water on the premises.

Applicant was reminded she must ensure proper care and visual supervision is always provided at all times. The backyard is free of hazards, lose or sharp objects.

LPA observed a fire extinguisher (2A10BC) that meets the State Fire Marshal standards, last read October 5th 2020(reading in green). Applicant tested the smoke detector and carbon monoxide detector at 1:15 p.m., and they were found to be in operable condition. Home has central air conditioning and heating. Per the applicant, there are no weapons or firearms in the home, nor did LPA observe any weapons or firearms during the inspection.

The applicant's Pediatric CPR/First Aid expires on 6/12/2021. Preventative Health and Safety class that includes one hour of child nutrition and lead Poisoning Prevention training was completed on 12/03/2020. The applicant had the required immunization against pertussis (Tdap), measles (MMR), and tuberculosis (TB). The Mandated Reporter training was completed on 2/08/2020.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2021

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ARAGON FAMILY CHILD CARE	FACILITY NUMBER: 157700051
	VISIT DATE: 05/14/2021

NARRATIVE

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LPA observed a parent board and other Licensing required forms at the entrance of the home visible to parents.

The following was discussed with applicant:
Mandatory licensing forms for the children’s files, facility forms/records, and information to be posted in the family child care home; Requirements to conduct fire and disaster drills once every six months and record it; Role and responsibilities of being a mandated reporter were reviewed; Licensee was made aware that it is her responsibility to know the regulations as well as anyone who assists in providing care; Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified; Regulation prohibits the smoking of any kind in the family child care home.

The Licensee was informed that all adults living in or having access to the home, or employees are required to have fingerprint clearances with Department of Justice, FBI and Child Abuse Central Index prior to having contact or working with children. If the aforementioned is not adhered to, a Civil Penalty of up to $500, per non-cleared adult will be assessed immediately. Please advise your analyst of any person who will be visiting regularly or for longer than one week. The applicant was advised to utilize the Request for Live Scan Service form LIC9163 to have adults fingerprinted and associated to the home.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2021

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ARAGON FAMILY CHILD CARE	FACILITY NUMBER: 157700051
	VISIT DATE: 05/14/2021

NARRATIVE

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The Licensee has been advised of the requirement to report Unusual Incidents continues as usual. A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The licensee was informed to continue to utilize the Unusual Incident Report/Injury Report form LIC624B when submitting the report to the department.

The Licensee was reminded that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days whenever a licensing inspection is conducted. If a Type A deficiency is cited, a copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months and licensee must obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian and place it in each child's file. Copies of the reports must be provided to each parent when a Type A violation is cited along with Acknowledgment of Receipt of Licensing Reports (LIC 9224). If these requirements are not met civil penalties per violation will be assessed.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2021

LIC809 (FAS) - (06/04)

Page: 4 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ARAGON FAMILY CHILD CARE	FACILITY NUMBER: 157700051
	VISIT DATE: 05/14/2021

NARRATIVE

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Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Applicants must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800)514-0301 (voice)/ (800)514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at http://www.ada.gov/childqanda.htm

The licensee was advised to continue to visit the department's website to access licensing forms, Quarterly Updates and Provider Information Notices (PINs): www.ccld.ca.gov

Applicant Julissa Aragon has met all Title 22 requirements; Therefore, a Small Family Child Care Home license is granted effective Monday 5/17/2021.

An exit interview was conducted, and a copy of this report, was provided via mailed with all required licensing forms for child file.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2021

LIC809 (FAS) - (06/04)

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