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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293624312
Report Date: 05/09/2023
Date Signed: 05/09/2023 02:19:37 PM

Document Has Been Signed on 05/09/2023 02:19 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:AGUILAR, JUANFACILITY NUMBER:
293624312
ADMINISTRATOR:AGUILAR, JUANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 414-6786
CITY:TRUCKEESTATE: CAZIP CODE:
96161
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
05/09/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Juan AguilarTIME COMPLETED:
02:30 PM
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At 1:00pm on 5/9/2023, Licensing Program Analysts (LPAs) Matthew Gallo and Lea Habtom met with Licensee Juan Aguilar for the purpose of conducting a plan of correction visit. Licensee's two assistants were also present for the duration of the visit.

Licensee was previously cited a Type A deficiency on 4/20/2023 for operating beyond the limits of their capacity of a large license by caring for six infants and six preschool children at one time. The plan of correction dictated that the Licensee would abide by infant capacity limits and have parents sign forms acknowledging that Licensee must turn away infants if already at the capacity limit of four.

At 1:00pm, LPAs observed 12 children in care. Through interview and record review, LPA identified four as being infants and the remaining eight as being preschool children. Licensee is in ratio, therefore the plan of correction has been fulfilled. The citation of 4/20/2023 has been cleared.

In addition, licensee was previously cited a Type A deficiency on 5/1/2023 for operating beyond the capacity of their license by providing care for 17 children. The plan of correction dictated that licensee would abide by capacity limits and LPA would conduct a return visit to ensure compliance. This citation of 5/1/2023 has also cleared.

Exit interview and was conducted with licensee Juan Aguilar. LPA communicated to Licensee the seriousness of failing to correct this deficiency and the possibility of administrative actions if noncompliance should continue.

Report, appeal rights, and notice of site visit (LIC9213) were provided. Notice of site visit shall be displayed
for 30 days.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2023
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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