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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304310373
Report Date: 08/23/2024
Date Signed: 08/23/2024 12:28:09 PM


Document Has Been Signed on 08/23/2024 12:28 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:RAMIREZ DE HERNANDEZ,YADHIRAFACILITY NUMBER:
304310373
ADMINISTRATOR:RAMIREZDEHERNANDEZ,YADHIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 791-1114
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY:14CENSUS: 10DATE:
08/23/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Yadhira Ramirez de HernandezTIME COMPLETED:
12:40 PM
NARRATIVE
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On 8/23/2024, Licensing Program Analyst (LPA) A. Silva conducted an unannounced Case Management – Legal/Noncompliance inspection assisted by Licensee Yadhira Ramirez de Hernandez. The licensee was informed of the visit’s purpose and a tour was completed. The census was 10 children, including 4 infants, at the time of the visit. The facility was operating within staff-to-child ratios and licensed capacity. An on-site Facility Personnel Report Summary review indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the visit, the LPA toured the facility accompanied by the licensee. The LPA reminded the licensee of the conditions under which the facility can be operated based on the Noncompliance Conferenced (NCC) held on 2/7/2024. The following was discussed.

The licensee agreed to keep closer supervision of the children in care by separating the children into three groups (infants, toddlers, and school age) and assigning one adult to supervise each group. During the visit, the LPA observed the S2 in the daycare area supervising all 10 children. The licensee was retrieving documents requested by the LPA. During that time, no separation of infants and children was observed. The children were around a table playing with puzzles while two infants crawled or walked in the daycare area comingled with the rest of the children. The LPA observed C1 in a crib while S2 carried C2. Infants C3 and C4 were observed independently navigate the daycare area. The licensee was reminded of the daycare operation agreement established in the NCC. The licensee stated that she was helping S2 care for the children before licensing arrived, at which time she had to retrieve documents and discuss the visit with the LPA. The LPA observed the licensee and S3 providing care and supervision to infants, including feeding infants and comforting infants.

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Archibaldo SilvaTELEPHONE: (510) 504-4954
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2024
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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Document Has Been Signed on 08/23/2024 12:28 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868


FACILITY NAME: RAMIREZ DE HERNANDEZ,YADHIRA
FACILITY NUMBER: 304310373

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/23/2024
Section Cited
CCR
1596.8662(b)(1)

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1596.8662 mandated reporter (b)(1) On or before March 30, 2018, a person who is a licensed child care provider, administrator, or employee shall complete the mandated reporter training provided. This requirement was not met as evidenced by:
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The licesee stated S3 will complete the mandated reporter training and provide proof of correction by the due date.
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Based on records review the requirement was not met for 1 of 3 staff present at the facility, which poses a potential risk to the health, safety, and personal rights of children. S3 did not have a valid mandated reporter. The mandated reporter in file is not approved by the department.
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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: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Archibaldo SilvaTELEPHONE: (510) 504-4954
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2024
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: RAMIREZ DE HERNANDEZ,YADHIRA
FACILITY NUMBER: 304310373
VISIT DATE: 08/23/2024
NARRATIVE
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During the NCC, the licensee agreed to provide proof of current mandated reporter certification for personnel and volunteers working in the daycare. During today’s visit, S3 did not have a current mandated reporter certificate in file. The certificate in file was for a school district. S3 was observed caring for and supervising daycare children (See 809D). Immunization reviewed.

During the visit, the daycare representative was reminded that Licensing Quarterly Updates are available at https://www.cdss.ca.gov/inforesources/community-care/self-assessment-guides-and-key-indicator-tools/quarterly-updates.

The representative understands it is their responsibility to review the Provider Information Notices (PIN) found on the CCLD website above.

The LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian and at CaSocialService YouTube Guardian Webinar “All Providers Webinar 12/20/22” link https://youtu.be/WNc1kYmlW9s.

The representative was informed of the resources available to providers at https://ccld.childcarevideos.org/family-child-care-providers/.

The representative was informed that Title 22 regulations may be accessed at https://www.cdss.ca.gov/inforesources/letters-regulations/legislation-and-regulations/community-care-licensing-regulations/child-care

Violations of the California Code of Regulations, Title 22, Division 12, were observed and cited during today's visit: 1596.8662(b)(1) Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion.

Appeal Rights were discussed. The facility director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was provided and must remain posted for 30 days. Exit interview conducted and report reviewed with Yadhira Ramirez de Hernandez.

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Archibaldo SilvaTELEPHONE: (510) 504-4954
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
LIC809 (FAS) - (06/04)
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