136610472-6-8-2020-20-CC-MHOD-BQDNFG-20200608102531

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136610472
Report Date: 06/08/2020
Date Signed: 06/08/2020 10:26:38 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	RAMIREZ, LISSETTE FAMILY CHILD CARE		FACILITY NUMBER:	136610472
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	06/08/2020
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Lissette Ramirez, Licensee		TIME COMPLETED:	10:30 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts (LPAs) Michelle Hood and Edgar Campana made an announced tele-inspection for the purpose of an increase in capacity. During the tele-inspection there were no children present. On 03/12/2020, a fire clearance was approved for 14 children. Applicant will use the following areas for child care: living room, bedroom #2, dining room, kitchen, bathroom #1, and front patio area. The off limit area are all made inaccessible via locks and door knob covers. There are no bodies of water observed during time of visit. There is a sufficient amount of age appropriate toys, games, and books available. The home was clean and orderly, with comfortable temperature and ventilation for safety and comfort during the inspection. The fire extinguisher is rated 2-A;10; BC and smoke alarm and carbon monoxide detector are operational. Licensee complete Mandated Reporter Training. The is a working telephone in the home and all required forms are posted. Licensee stated that there are NO firearms or ammunition on the property. All adults living or working in the home have been fingerprint cleared and associated. LPAs reviewed children's files, child care roster, and emergency drill log. Last fire/disaster drill was conducted 01/12/2020. Licensees Pediatric CPR and First Aid certification expire 04/2022. LPAs discussed with maintaining supervision of day children at all times. LPAs reviewed the following with licensee: SIDS, car seat law, reporting requirements, shaken baby syndrome and care and supervision. Licensee was also reminded the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Corporal punishment and smoking are not allowed in the day care. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.html

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2020

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: RAMIREZ, LISSETTE FAMILY CHILD CARE	FACILITY NUMBER: 136610472
	VISIT DATE: 06/08/2020

NARRATIVE

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New immunization law (SB792) was discussed with Licensee understand that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza.

LPAs reviewed this report with Licensee. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA provided licensee with a copy of the Notice of Site visit via e-mail. Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov

The maximum capacity for a large family child care home: 12 children (with a qualified assistant) with no more than 4 infants; or (with landlord consent) 14 children (with a qualified assistant) with no more than 3 infants, 1 child enrolled in kindergarten or elementary school and 1 child at least age 6 including children under age 10 who live in the licensee's home. When there is no Qualified Assistant, 14 years of age or present, the capacity reverts back to the requirements for a Small Family Child Care. To access our Regulations and Forms please use our WEBSITE: http://ccld.ca.gov.

LPA Edgar translated licensing report and inspection in Spanish, Licensee stated she understood.

A Regular Large Family Child Care Home license may be issued for 14 children upon final file review.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2020

LIC809 (FAS) - (06/04)

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