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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157700051
Report Date: 09/30/2022
Date Signed: 10/01/2022 05:35:24 AM

Document Has Been Signed on 10/01/2022 05:35 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:ARAGON FAMILY CHILD CAREFACILITY NUMBER:
157700051
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
09/30/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Julissa AragonTIME COMPLETED:
02:00 PM
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 On 09/30/2022, at 1 p.m. Licensing Program Analysts (LPA) Esequiel Rodriguez made an announced inspection with Licensee, Julissa Aragon for the purpose of conducting an increase of capacity Pre-Licensing Inspection to ensure the Family Child Care Home (FCCH) facility meets basic licensing requirements set forth by Title 22 California Code of Regulations, Health and Safety and Statutory requirements. And to ensure the facility is set up to provide a safe and healthy place for children. The LPA met with Licensee and stated the purpose for the inspection as stated above. The LPA explained that Community Care Licensing Division (CCLD) is focusing efforts on, but not limited to, three priority areas: prevention, compliance, and enforcement. Additionally, the LPA explained that CCL will offer resources and continue to assist Ms. Aragon in her ability to consistently demonstrate compliance.

The physical plant of the prospective FCCH is a two story house. Bottom floor consists of a living room, kitchen, dining area, restroom, office, family room, nook, garage. Top floor consists of three bedrooms, a loft and two bathrooms. It has a back and front yard including a side runaway yards. The main areas designated to provide childcare are the family room and nook, restroom and back yards. Off limit areas are the office, kitchen, garage, and second floor, and any other area that may create a hazard when caring for children. The kitchen and stairway to second floor are gated.

The home is neat and clean with heating and ventilation for safety and comfort. Carbon Monoxide Detector, Smoke Alarm(s) and Fire Extinguishers meet standards established by the State Fire Marshall. Off Limits areas have been properly designated. There are no Bodies of Water. There are no exposed fireplace place or heater. There is no land-line phone at the Facility.

The facility has a first-aid kit with all required supplies
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 09/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: ARAGON FAMILY CHILD CARE
FACILITY NUMBER: 157700051
VISIT DATE: 09/30/2022
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The Licensee is well aware that cribs or play pens/yards being used or planned to be used have not been banned or recalled by the United States Consumer Product Safety Commission and that the she will be present in the home and ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee will arrange for a substitute adult to care for and supervise the children during his/her absence. She knows that temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

The Licensee as well as assistant have a current criminal background and association. Nonetheless, the LPA explained that all adults 18 years old and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

Ms. Aragon has completed the required mandated reporter training, has provided child care services for more than one year, and is aware that everyone providing services to children must complete all required child care training. Licensee also has a current pediatric first aid and CPR. Posted on a prominent place are the Emergency Disaster Plan (LIC 610A); the Earthquake Preparedness Checklist (LIC 9148), Notification of Parents' Rights Poster (PUB 394.) and when licensed, the Facility License, (LIC 203) will also be posted in an area of the home where it can be easily seen. The licensee is aware of reporting requirements in accordance with (IAW) Title 22 requirements.



At the time of the inspection there were no pending issues or concerns that precludes from licensing the new location. No deficiencies or hazards were noted during the inspection. Therefore, the home is ready for increase of capacity licensure.

Copy of this report and Notice of Site Visit was provided to Ms. Aragon and an exit Interview was conducted.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2022
LIC809 (FAS) - (06/04)
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