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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293624312
Report Date: 05/23/2024
Date Signed: 05/23/2024 01:12:42 PM

Document Has Been Signed on 05/23/2024 01:12 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/
DIRECTOR:		AGUILAR, JUANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 414-6786
CITY:TRUCKEESTATE: CAZIP CODE:
96161
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
05/23/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Juan AguilarTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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At 12:50pm on 5/23/2024, Licensing Program Analyst (LPA) Matthew Gallo with Licensee Juan Aguilar for the purpose of conducting a plan of correction visit. Licensee's three assistants were also present for the duration of the visit. Today's census included 10 children, consisting of 3 infants and 7 preschool children.

Licensee was previously cited a Type A deficiency on 5/17/2024 for operating out of ratio by caring for six infants and 8 preschool children at one time. The plan of correction dictated that the licensee would abide by ratio requirements of no more than 4 infants at any time and provide a written schedule of planned attendance for the week of May 20-24 by the POC due date, illustrating that ratio will be maintained.

Upon arrival at 12:50pm, LPA observed 10 children in care. Through interview and record review, LPA identified 3 as being infants and the remaining 7 as being preschool children. Licensee is in ratio, therefore the plan of correction has been fulfilled. The citation of 5/17/2024 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: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/23/2024
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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