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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274415970
Report Date: 06/17/2021
Date Signed: 06/17/2021 03:05:05 PM

Document Has Been Signed on 06/17/2021 03:05 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:AVILES VARGAS, MAGALYFACILITY NUMBER:
274415970
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 3DATE:
06/17/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Magaly Aviles VargasTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Fermin Campos-Jaramillo conducted an unannounced inspection to the home today. LPA met with licensee Magaly Aviles Vargas in a case management inspection with the purpose of increasing the capacity of the license for licensee Magaly Aviles. The adults that reside in the home are the licensee, her husband Jose Luis, her father in law Jose L., and her husband's uncle Javier (present today). Also in the home reside licensee's minor children ages 17, 11, and 8 years old. LPA observed there were not children in care present at the arrival time and later during the inspection time one infant and one preschool arrived, also present was licensee's 8 years old daughter. Licensee's CPR and First Aid certifications are current and will expire on 11/07/22. Days and hours of operation are Monday to Sunday from 5:00 AM to 4:00 AM. LPA obtained a copy of the children's roster and observed licensee has documented a fire drill on 5/01/21. LPA toured the indoor and outdoor areas during today's inspection. LPA observed the home does not have wall heaters and has central heating. Off limit areas inside the home: All the second floor which includes 5 bedrooms and two bathrooms; and in the first floor: the laundry room, and the attached garage. LPA observed a fully charged 3A40BC fire extinguisher, and at least one working smoke detector. LPA observed the home has installed at least one working carbon monoxide detector. Off limits outdoor areas are: A storage shed in the back yard. LPA did not observed any bodies of water. LPA observed the home's back and side yards are fenced. Licensee uses the back yard as playground. LPA observed the home has barricaded stairs. LPA observed the home does not have a fireplace. Licensee states that there are no weapons in the home. LPA observed a fish tank located in the on limits child care area. LPA observed the tank is fastened to a wall and firmly secured to a wall. LPA observed the tank has a lid and the lid is unreachable for the children. Licensee stated she does not have any other pets.
LPA reminded licensee that smoking, baby walkers, bouncers, jumpers, and similar items are not allowed in Family Child Care Homes.
A review of staff and adults records on 6/15/21 indicates that all adults residing in the home have received criminal record and child abuse index clearances or exemptions.
Report dated 6/17/21 continues on page 2
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE: DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2021
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: AVILES VARGAS, MAGALY
FACILITY NUMBER: 274415970
VISIT DATE: 06/17/2021
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Report dated 6/17/21 continues from page 1.
Licensee understands that her child(ren) residing in her home count in the capacity of a licensee until child(ren) reach the age of ten.
Licensee states that she is not currently offering transportation to children via vehicle and she understands that children cannot be left in parked vehicles unattended at any time. LPA observed proof of immunization for measles, pertussis and opt out statement for influenza are in file for licensee.
Licensee has completed the "mandated reporter" training AB1207 on 05/05/21 and licensee understands the training shall be renewed every two years. LPA referred the licensee to the training website www.mandatedreporterca.com for additional information.
Licensee stated has had a Fire inspection from the Salinas Fire Department earlier this month. Licensing Department has not received the fire clearance as of today 6/17/21.
LPA reviewed with the licensee the new regulations on Safe sleep for infant children. and provided licensee with form LIC9227. LPA referred the Licensee to the Department website: www.ccld.ca.gov for additional information.
LPA provided licensee with the Lead Poisoning Facts sheet.
No deficiencies were cited.

LPA conducted an exit interview with licensee Magaly Aviles and advised her that a large FCCH license will be approved pending on the following: 1) Licensee to obtain a fire clearance from the Salinas Fire Department for this location., And 2) Approval from a manager of the Licensing Department.

A notice of site inspection was printed and shall be posted for the next consecutive 30 days.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
LIC809 (FAS) - (06/04)
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