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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018603
Report Date: 10/07/2022
Date Signed: 10/07/2022 12:51:37 PM


Document Has Been Signed on 10/07/2022 12:51 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
198018603
ADMINISTRATOR:RAMIREZ, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 504-1814
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:14CENSUS: 5DATE:
10/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Licensee Patricia RamirezTIME COMPLETED:
01:00 PM
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On 10/7/22 at 9:40 AM Licensing Program Analysts (LPAs) Austin Estrada and Jeanette Estrada conducted an unannounced required 1 year inspection at the above facility. LPA met with the Licensee Patricia Ramirez and informed her of the purpose for the visit. Licensee guided LPAs on a tour of the facility. There were five children and one staff (S1) present when LPAs arrived. Criminal record clearance for all adults present was verified. Licensee provides care to children ages 6 months to 5 years old and operation days/ hours are Monday through Friday 7 AM to 5 PM.

This is a one story 2 bedroom, 1 bathroom home with a living room, dining room area, den area, kitchen, attached garage used as a bedroom, and fenced backyard. Areas on limits to children are the living room, preschool room, hallway bathroom, den area, and fenced backyard. Areas off limits to children are Licensees personal bedroom, garage, kitchen, and hallway closet. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness.

The following was observed and reviewed during this inspection: LPA reviewed required posted documentation for Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. Facility records were reviewed for LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan and Disaster drill log, last drill conducted on 9/14/22. Licensee had a copy of the Roster available during the inspection.

There is an operable carbon monoxide detector and a smoke detector in the home. The 2A10BC Fire extinguisher in the preschool room indicated fully charged and were last serviced on 10/4/22. The home maintains telephone service (cellphone). Food is provided by Licensees. Licensees were reminded if children bring food from home it must be labeled with the child’s name and properly stored or refrigerated. The home is observed to be clean and orderly. There are toys and other age appropriate materials available for children.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin EstradaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/07/2022
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 198018603
VISIT DATE: 10/07/2022
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Harmful objects such as knives, detergents and cleaning compounds are kept in the off limits kitchen and are inaccessible to children in care. There is a safety gate separating the kitchen and the dining room. Sharp objects are kept in an upper drawer in the kitchen inaccessible to children in care.

Cleaning products are kept under the sink cabinet in the kitchen inaccessible to children in care. Per Licensee there are no children that require medication. Per Licensee personal medication is kept in the off limits bedroom. There is central air conditioning and heating throughout the home. No wall heaters or fire places were observed. LPAs observed age appropriate toys and materials in the preschool room and the den area. Licensee provides meals to children in care. Children use the restroom in the hallway. Per Licensee, children are supervised while playing outside.

Per Licensee there are no poisons located in the home. Licensee understands that all poisons must be locked, not only inaccessible to children. Isolation area for sick children waiting to be picked up is in the living room with adult supervision. Per Licensee, there are no firearms or weapons stored in the home. LPAs did not observe pools or spas, or other bodies of water.

Infant Care: Currently licensee cares for two infants. LPAs observed three cribs, one each in the living room, preschool room, and den area. Napping equipment does not block entrances or exits. Infant mattresses were observed to be firm with tightly fitted sheets. LPAs did not observe loose object, bumpers, objects hanging, or objects attached to the cribs. Per licensee wet or soiled sheets are laundered in the facility and are washed weekly. Each infant has their own crib/ napping mat and bedding. LPAs and licensee reviewed the new Safe sleep regulations, including LIC 9227 Infant Sleep Plan for infants under 12 months, 15-minute sleep check documentation for infants 0-24 months.

Overnight Care: There is no overnight care provided at the moment. LPA discussed the following: Licensee is aware that they must remain wake while children are awake. If children sleep in separate area from licensee, the door must remain open. If licensee cannot hear children when they wake up, video or audio device can be used.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin EstradaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 198018603
VISIT DATE: 10/07/2022
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Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, LIC 9227- Infant sleep form (0-12 months, and documentation of 15-minute Infant Sleep Check (0-24 months).
Staff records were reviewed for approved Pediatric First Aid and CPR certification, LIC-501: Personnel Record, LIC 508-Criminal Record Statement, LIC 9052- Employee Rights, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement of Child and Mandated Reporter Training Certificate.

Licensees' CPR/First Aid was completed on 6/25/22 and S1 was completed on 8/28/21. Licensee completed mandated reporter training on 8/24/21 and S1 also completed mandated reporter on 8/24/21.

During inspection the children present was observed to be treated with dignity and respect, observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.
Incidental Medical Services (IMS): 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm
Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin EstradaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 198018603
VISIT DATE: 10/07/2022
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
No deficiencies are being cited today.

Exit interview conducted and report was reviewed with the Licensee Patricia Ramirez. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin EstradaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
LIC809 (FAS) - (06/04)
Page: 4 of 5