136610475-9-27-2021-20-CC-GGOZ-C79TEE-20210927143950

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136610475
Report Date: 09/27/2021
Date Signed: 09/27/2021 02:39:56 PM

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, LORENIA FAMILY CHILD CARE		FACILITY NUMBER:	136610475
ADMINISTRATOR:	LORENIA RAMIREZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 970-0017
CITY:	CALEXICO	STATE: CA	ZIP CODE:	92231
CAPACITY:	14	CENSUS: 3	DATE:	09/27/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Lorenia Ramirez		TIME COMPLETED:	02:50 PM

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	On September 27, 2021, at 1:05 p.m., Licensing Program Analyst (LPA), Gloria Gonzalez conducted an unannounced Annual Required Inspection and to inspect a room addition (converted garage) and met with the Licensee, Lorenia Ramirez. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Three (3) children and two (2) staff were present in the facility during this inspection. This facility is a one story, three (3) bedroom, two (2) bathroom house. The following areas used for childcare are: living room #1 and #2, kitchen, bathroom #2, bedroom #1, new daycare room, backyard, and dining room. Off limit areas are bedroom #2, #3, bathroom #1 and are inaccessible through use of a baby gate and door knob covers. Hours of operation: 2:00 am-11:00 pm Monday through Sunday. LPA received the granted fire clearance on 9/21/21. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. Hazardous items were made inaccessible to children during the inspection. The licensee has toys, play equipment and materials available. The home has a fenced backyard available for outdoor activities. No bodies of water observed on the premises during the inspection. Licensee stated there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances. Licensee’s First Aid and CPR certifications expire on 3/2022. Licensee has required immunizations. Licensee completed Mandated Reporter Training on 2/23/21. Facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 6/7/21. There is one play yard for each infant who is unable to climb out of the play yard. Play yards are free from all loose articles and objects. Licensee physically checks on sleeping infants up to 24 months of age every 15 minutes. An Individual Infant Sleeping Plan [LIC 9227 (3/20)] is maintained for each infant up to 12 months of age. Licensee places infants up to 12 months of age on their backs for sleeping.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria Gonzalez	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

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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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, LORENIA FAMILY CHILD CARE	FACILITY NUMBER: 136610475
	VISIT DATE: 09/27/2021

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LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided information regarding Safe Sleep Regulation Section 102425, SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA advised if there is an unusual incident to report to call Licensing and to follow up with an LIC624B within 7 days. Duty Line at (619) 767-2248. Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov

LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions, questions regarding licensing requirements, or Unusual Incident Reports LIC 624B, contact the Child Care Licensing:

Incidental Medical services (IMS) policy was discussed. Licensee states IMS services are not being provided at this time. 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.htm.

No deficiencies cited.

The licensee was provided a copy of their appeal rights (LIC 9058 12/15). LPA provided notice of site visit (LIC 9213) and observed it being posted at the facility.

LPA interpreted and explained the inspection report to licensee, licensee stated she understood.

An exit interview was conducted with the licensee.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria Gonzalez	TELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

LIC809 (FAS) - (06/04)

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