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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293624312
Report Date: 11/20/2023
Date Signed: 11/20/2023 03:09:51 PM

Document Has Been Signed on 11/20/2023 03:09 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
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: 8DATE:
11/20/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Juan AguilarTIME COMPLETED:
03:15 PM
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At 2:30pm on 11/20/2023, Licensing Program Analysts (LPA) Matthew Gallo 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. Today's census included 8 children, consisting of 4 infants and 4 preschool children.

Licensee was previously cited a Type A deficiency on 11/15/2023 for operating out of ratio by caring for six infants and 6 preschool children at one time. The plan of correction dictated that the licensee would abide by a ratio requirement of no more than 4 infants at any time and have parents sign forms acknowledging that Licensee must turn away infants if already at the capacity limit of four.

At 2:30pm, LPAs observed 8 children in care. Through interview and record review, LPA identified four as being infants and the remaining four as being preschool children. Licensee is in ratio, therefore the plan of correction has been fulfilled. The citation of 11/15/2023 has been cleared.

No further deficiencies were cited during the visit.

Exit interview conducted and report was reviewed with the licensee Juan Aguilar. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE: DATE: 11/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2023
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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