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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
073408422
Report Date:
11/10/2021
Date Signed:
11/10/2021 05:28:29 PM
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office
,
1515 CLAY STREET, SUITE 1102
OAKLAND
,
CA
94612
FACILITY NAME:
RAMIREZ, LESLIE
FACILITY NUMBER:
073408422
ADMINISTRATOR:
RAMIREZ, LESLIE
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(925) 301-5536
CITY:
BRENTWOOD
STATE:
CA
ZIP CODE:
94513
CAPACITY:
14
CENSUS:
0
DATE:
11/10/2021
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
04:00 PM
MET WITH:
Leslie Ramirez
TIME COMPLETED:
05:40 PM
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced case management inspection. There were no children in care during the inspection.
An inspection was previously conducted on 11/9/21. During the inspection on 11/9/21 LPA observed the pool located in the backyard to be accessible to children. Licensee made alteration to the backyard and removed portions of the fence that secured the pool. Licensee was told to cease caring for children until corrections have been made and changes were inspected by Community Care Licensing (CCL).
Licensee has now installed a fence and has made the pool inaccessible to children. The fence installed has 3 gates that open away from the pool. Two gates are self latching. One gate is not working properly and is not self latching.
Licensee may begin caring for children effective 11/11/21. The backyard must remain off limits until it is reinspected by CCL. Licensee shall ensure all gates are self latching by 11/15/21. LPA has discussed this with the licensee and the licensee's daughter who translated for the licensee to ensure understanding.
Licensee shall submit a new facility sketch for the backyard by 11/15/21.
Exit interview was conducted with Leslie Ramirez.
Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISOR'S NAME:
Sherelle Johnson
TELEPHONE:
(510) 622-2592
LICENSING EVALUATOR NAME:
Cherie Acosta
TELEPHONE:
(510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE:
11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/10/2021
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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