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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020241
Report Date: 08/02/2019
Date Signed: 08/02/2019 11:34:20 AM

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:RAMOS FAMILY CHILD CAREFACILITY NUMBER:
198020241
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
08/02/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Aida RamosTIME COMPLETED:
11:50 AM
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A PRELICENSING INSPECTION WAS CONDUCTED IN SPANISH
Licensing Program Analyst (LPA) Ariel Cazares conducted an announced pre-licensing inspection today. LPA met with the Applicant Aida Ramos who guided analyst on a tour of the facility. Those residing in the home are 4 adults and 0 children, and 2 dog. Per applicant, operating hours will be Monday-Friday, 6am-5:30pm. Applicant states they want to care for children 0-12 y/o.

All areas identified on the facility sketch were inspected. This is a one story home which consists of 3 bedrooms, 2 restrooms, kitchen, family/living room, backyard (fenced), detached garage. The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children.

Accessible to daycare children: Living room, 1 restroom, kitchen, and backyard .
Off limits/inaccessible to daycare children: 3 bedrooms, 1 bathroom, and detached garage.

LPA inspected the areas to be used by the daycare children. There are mats and a crib in the living room. The children’s restroom was inspected and no hazards were observed. There are latches on the cabinets.

LPA observed in the kitchen there is a fire extinguisher (purchased on 7/9/19). Cabinets and drawers have latches. The first aid kit is located in the restroom. LPA tested the smoke detector in the hallway which was functional. The home is missing the carbon monoxide detector. Per applicant there are no weapons, firearms in the facility at this time. LPA inspected the outdoor spaces. There are 3 sections of the backyard. LPA observed chile plants in one of the yards that needs to be made inaccessible. The garage was not available for inspection due to it being locked and the key with a resident who was not home. Applicant stated the garage is being worked on but will send photo to LPA to show the interior.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2019
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 3
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: RAMOS FAMILY CHILD CARE
FACILITY NUMBER: 198020241
VISIT DATE: 08/02/2019
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The following was discussed with the applicant:
·Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty.
·In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current adult/infant CPR & Pediatric First Aid certification, TB clearance, and a valid criminal record clearance associated to the facility license.
·A current roster of children enrolled must be available and maintained for a period of three years, even after children no longer are attending the facility.
·The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary and smoke and carbon monoxide detectors should be checked and batteries replaced as needed.
·Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your home.
·Reporting Requirements: Any unusual incidents or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. Mandated reporter requirements was reviewed and explained.
·Fire and safety drills must be performed every six months and documented for review by the Department.
·Smoking is prohibited in a family child care home, 24/7.
·Children and Staff records must be maintained and updated as needed and must be available for review by the Department.
·No baby bouncers, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility.
·All adults living and working in the home shall be made of aware of the Departments right to inspection authority.
·Liability insurance was discussed with applicant.
·Mandated reporter training must be taken every 2 years.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: RAMOS FAMILY CHILD CARE
FACILITY NUMBER: 198020241
VISIT DATE: 08/02/2019
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Applicant obtained a certificate of completion for the Preventative Health and Safety training on 03/10/19. Applicant’s CPR/1st Aid Certifications expire 03/2021. LPA informed of mandated reporter requirement. Currently training is not available in applicant's language.

During this visit, the LPA reviewed and issued Forms/Records to Keep in Your Family Child Care Home (LIC 311D) to the applicant. LPA reviewed Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, and safe sleep practices with licensee. *Infants should always sleep on their backs, mouths facing up, light bedding. Safe sleep materials and other resources were provided.

LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov



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

Per applicant, there are no other licenses held at this location.

The following corrections must be completed prior to licensure and are due by
1. Barricade wall heater or obtain verification that pilot is off.
2. Make chile plants inaccessible
3. Install a carbon monoxide detector
4. Photo of interior of garage.

Once licensed, the applicant is required to adhere to the terms and limitations as stated on the license. Exit interview was conducted with the Applicant Aida Ramos who is in agreement with the above. A copy of this report and all other licensing reports must be made available to the public for 3 years.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3