Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417777
Report Date: 01/27/2016
Date Signed 01/27/2016 03:13:34 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:CASTILLO & AGUILAR FAMILY CHILD CAREFACILITY NUMBER:
197417777
ADMINISTRATOR:CASTILLO, PATRICIOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 635-5131
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY:14CENSUS: 10DATE:
01/27/2016
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Patricio CastilloTIME COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA) Silva Garibyan visited the facility for the purpose of a Plan Of Correction (POC) visit. On the initial visit of 1/14/2016, the Licensee had 13 children in care, including 6 infants and no school-age children. Licensee was cited for the following deficiencies:
1) Staffing Ratio and Capacity
2) Licensee was unable to demonstrate current proof of CPR/First Aid Certificates.


Upon LPA Garibyan's arrival 10 (3 infants) children were in care. Licensee's 2 assistants were present ( both fingerprint cleared and associated, CPR/ First Aid expire 01/2018). LPA observed all the above deficiencies corrected, and the LIC 9224 ( Acknowledgement of Receipt of Licensing Reports) in the children's files. Licensee has met the Plan of Corrections.

At the time of the Plan Of Correction visit the facility was found to be in substantial compliance.
Exit interview was conducted and copy of report was provided.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (310) 337-4826
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (310) 337-3754
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2016
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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