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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192007118
Report Date: 09/11/2019
Date Signed: 09/11/2019 05:38:56 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
192007118
ADMINISTRATOR:RAMIREZ, LETICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 585-0232
CITY:LOS ANGELESSTATE: CAZIP CODE:
90001
CAPACITY:14CENSUS: 8DATE:
09/11/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Licensee_Leticia RamirezTIME COMPLETED:
05:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Reiko Jones-Modeste conducted an unannounced annual random inspection at the facility listed above. Upon arrival were Adult #1 and five day care children. LPA met with Adult #1, who guided analyst on a tour of the facility. Adult #1 contacted Licensee Leticia Ramirez via phone as she was transporting day care children. Licensee arrived at 3:30pm with three additional children. UThe Licensee states that one adult and three children currently reside in the home. LPA observed one adult present in the home without a criminal record clearance. A current children’s roster was not available for review.

This is a one-story home which consists of three bedrooms, two bathrooms, kitchen, living room and backyard (fenced). Children’s areas include living room, kitchen, rear bedroom, front bathroom and backyard. The children use the bathroom located in the front hallway. The restroom was observed safe and sanitary. Per Licensee, areas off limits to children and parents include: the front yard and two bedrooms. Two bedrooms were observed inaccessible to children in care. The kitchen was observed safe and sanitary.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via a landline at the facility during operating hours. There is ventilation and heating (central).

The home was observed to be clean and orderly. There are appropriate toys available for children, free of sharp edges and unbroken. Appropriate sleeping arrangements (cots) were observed.

Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed inaccessible to children. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 192007118
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/11/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/18/2019
Section Cited

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Staff Immunizations

Based on LPAs record review this requirement has not been met as evidenced by Licensee provided no proof of immunization. This poses a potential risk to the health and safety of children in care.
Type B
09/18/2019
Section Cited

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Facility Roster

Based on LPAs record review this requirement has not been met as evidenced by no Facility Roster was available for review. This poses a potential risk to the health and safety of children in care.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:
DATE: 09/11/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/11/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 192007118
VISIT DATE: 09/11/2019
NARRATIVE
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The valve on the required 2A 10BC fire extinguisher indicates fully charged as indicated on the receipt dated September 11, 2019. Smoke and carbon monoxide detectors were tested and operable.

Licensee states that there are no firearms stored in the home. The licensee provides some food for children in care.

Currently, children are using the back yard for outdoor play time. The outdoor play area was observed fenced. LPA observed appropriate toys and equipment used for children. LPA observed a large trampoline, converted garage/granny flat and one storage shed. The licensee states that supervision is always provided.

The Licensee has completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires June 2020 . There are first aid supplies available.

Children’s records were reviewed, including emergency information and were observed complete.

The licensee does not have proof of immunization against influenza, pertussis, and measles.
LPA observed proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file for Licensee.

All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. LPA observed a Disaster Drill log posted.



Licensee states there are two pets on the premises. LPA observed two dogs at the facility during operating hours.

Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed and posted..


LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, and/or any other item that fall into these categories are not permitted in a family child care facility.

Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 192007118
VISIT DATE: 09/11/2019
NARRATIVE
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Licensee states that she is not currently caring for infants. Licensee was advised that infants sleep in a standard crib only, where they are constantly supervised. LPA discussed with Licensee the Child Care Provider’s Guide to Safe Sleep to reduce the risk of SUID by American Academy of Pediatrics. LPA also consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, and Safe Sleeping practices.

Incidental Medical Services (IMS):
The licensee states that she will provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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.htm.

LPA advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited must be cleared to protect the children’s health & safety.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 daysduring the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent.

Exit interview was conducted with Licensee, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 192007118
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/11/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/12/2019
Section Cited

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Criminal Clearance
(d)(1) Obtain a California clearance or a criminal record exemption as required by the Department

Based on LPAs record review this requirement has not been met as evidenced by LPA’s
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observation of Adult #2 alone with five daycare children and Licensee’s own admission that Adult #2 was previously disassociated from the facility.

This poses an immediate risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:
DATE: 09/11/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/11/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5