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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243907427
Report Date: 03/18/2020
Date Signed: 03/18/2020 01:41:29 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RAMOS, ANA FAMILY CHILD CAREFACILITY NUMBER:
243907427
ADMINISTRATOR:RAMOS, ANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 617-5468
CITY:ATWATERSTATE: CAZIP CODE:
95301
CAPACITY:14CENSUS: DATE:
03/18/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Ana RamosTIME COMPLETED:
02:00 PM
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An unannounced Annual/Random inspection was conducted today by Licensing Program Analyst, Norma Lomeli. Present during the inspection was licensee and eight day-care children who were having lunch. Licensee and her husband are the only adults who reside in the home. Background clearances were discussed and licensee signed LIS531 indicating all adults residing and/or providing care and supervision have a criminal record clearance.
  • The licensee has current pediatric CPR and First Aid that expires on 2/8/2022. Preventative Health Practice was completed and confirmed at pre-licensing inspection.
  • The day care room is clean and orderly, with heating and ventilation for safety and comfort.
  • Care and supervision is provided only in the day care room that is attached to the home and has its own separate entrance through a gate that is located on the East side of the home. The day care room has children cubbies, books, toys, flat screen television, refrigerator and child size furniture.
  • A current roster of children in care is maintained. Verified that immunizations records are maintained and licensee updates records for children in care. Licensee provides a copy of Parent’s Rights to all parents and/or child’s representative.
  • The licensee ensures that children in care are supervised at all times.
  • Fire and disaster drills are conducted at least once every six months, and documented with the date and time.
  • There is a fireplace in the home’s living room which is an area inaccessible to the day care children.
(Continued on LIC809-C):
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2020
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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: RAMOS, ANA FAMILY CHILD CARE
FACILITY NUMBER: 243907427
VISIT DATE: 03/18/2020
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  • Facility has required 3A40BC fire extinguisher, smoke detectors and a working carbon monoxide detector that meet State Fire Marshall standards.
  • There is an in-ground pool that is fenced with rod iron fence in accordance with Title 22 Regulations. The gate is self-latching/self-closing and swings away from the pool. Licensee states she maintains licensed capacity at all times.
  • Licensee states her home is smoke free. Licensee is advised that smoking is prohibited on the premises of a family child care home as specified in Health and Safety Code Section 1596.795(a).
  • Measles, Pertussis and Influenza immunizations are on file.
  • Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored where they are inaccessible to children. Poisons are stored in a locked shed that is located in the home’s back yard which is an area inaccessible to the day care children. There is a gated outdoor play area for the children. LPA observed safe toys and a portable basketball hoop for the day care children to play.
  • Licensee completed the Mandated Reporter Training on March 2, 2019. Licensee understand that the Mandated Reporter Training has to be updated every two years. The training can be found at www.ccld.ca.gov.
  • Incidental Medical Services (IMS) policy was discussed. Licensees states that there is no children under her care who need the services. 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.
(Continued on LIC809-C):
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2020
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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: RAMOS, ANA FAMILY CHILD CARE
FACILITY NUMBER: 243907427
VISIT DATE: 03/18/2020
NARRATIVE
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  • LPA & licensee discussed the Community Care Licensing website: LPA and licensee discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN.

Hours or operation are Monday through Friday from 7:30 AM to 5:00 PM and as arranged; less than 24 hours. Licensee is reminded of inspection authority by employees of the Department at any time, with or without advance notice. Licensee understands children may not be left in parked vehicles. When temporarily absent from the home, the licensee arranges for a substitute adult to care for and supervise children in her/his absence.

During exit interview, LPA observed licensee post the Notice of Site Visit on the parent’s board and understands it must remain posted for 30 days and retain evaluation report for 3 years.

In the areas that were inspected no deficiencies were observed at the time of the inspection.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2020
LIC809 (FAS) - (06/04)
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