274415970-12-20-2023-07-CC-FCJO-CYPRGK-20231220120052

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274415970
Report Date: 12/20/2023
Date Signed: 12/20/2023 12:00:58 PM

Document Has Been Signed on 12/20/2023 12:00 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	AVILES VARGAS, MAGALY		FACILITY NUMBER:	274415970
ADMINISTRATOR:	MAGALY AVILES VARGAS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 585-2393
CITY:	SALINAS	STATE: CA	ZIP CODE:	93905
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	12/20/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Delia Vargas Resendiz		TIME COMPLETED:	12:10 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	Licensing Program Analyst (LPA) Fermin Campos-Jaramillo conducted an unannounced annual inspection to the home today. LPA met with licensee's helper Delia Vargas Resendiz. Licensee was not providing child care today. The adults that reside in the home are the licensee, her husband Jose Luis, her adult son Edwin, her father in law Jose L.(present), and her husband's uncle Javier. Also in the home reside licensee's minor children ages 14, and 10 years old. Licensee's CPR and First Aid certifications are current and will expire on 10/07/24. Days and hours of operation are Monday to Saturday from 5:00 AM to 7:00 PM. LPA obtained a copy of the children's roster. Licensee has documented a fire drill on 12/12/23. LPA reviewed five children's files and are complete including a Parent's Rights form and the immunization records form. Licensee has a working telephone in the home. 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 last time services on 8/01/23. LPA observed the home has installed at least one working smoke/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. **********************Report dated 12/20/23 continues on page 2

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023

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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: AVILES VARGAS, MAGALY	FACILITY NUMBER: 274415970
	VISIT DATE: 12/20/2023

NARRATIVE

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****************Report dated 12/20/23 continues from page 1.

The Licensee understands her capacity options and she understands that she cannot have more than 14 children in the home at any time, the ratio must be observed and a qualified assistant must be present.
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 and sometimes her husband transport 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 and her helper Delia have completed the "mandated reporter" training AB1207 on 2/27/23. Licensee understands the training shall be renewed every two years. LPA referred the licensee to the training website www.mandatedreporterca.com for additional information.
A review of staff records on 12/15/23 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Licensee was reminded that all the adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource.

LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

*****************************Report dated 12/20/23 continues in page 3

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023

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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: AVILES VARGAS, MAGALY	FACILITY NUMBER: 274415970
	VISIT DATE: 12/20/2023

NARRATIVE

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********Report dated 12/20/23 continues from page 2.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE Delia Vargas confirmed that there are no Registered Sex Offenders living in the facility.

Exit interview conducted and report was reviewed with the licensee's helper Delia.

No deficiencies were cited today.

A notice of site visit was handed to licensee and must remain posted for 30 days.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023

LIC809 (FAS) - (06/04)

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