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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304310373
Report Date: 03/19/2025
Date Signed: 03/19/2025 11:52:57 AM

Document Has Been Signed on 03/19/2025 11:52 AM - 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:RAMIREZ DE HERNANDEZ,YADHIRAFACILITY NUMBER:
304310373
ADMINISTRATOR/
DIRECTOR:
RAMIREZDEHERNANDEZ,YADHIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 791-1114
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
03/19/2025
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:06 AM
MET WITH:Yadhira Ramirez de HernandezTIME VISIT/
INSPECTION COMPLETED:
11:51 AM
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On 3/19/2025, Licensing Program Analysts (LPA) Silva and Licensing Program Manager (LPM) Ho conducted an Office meeting with licensee Yadhira Ramirez de Hernandez to review the Stipulation and Waiver; And Order CDSS No. 6624107101 adopted by the Department on 27 February 2025. The following items in the Stipulation and Waiver; And Order were reviewed with the licensee during the meeting: Items 2 and 2A through 2P. Item 3A. Items 4, 6, 8, and 12. The following is a summary of the items.

2. The licensee is granted a probationary license for three years subject to the limitations and conditions documented in the Stipulation and Waiver; And Order CDSS No. 6624107101.

2A. The licensee shall operate the facility in strict compliance with the regulations and statutes governing the operation of a family child care home.

2B. The Department may conduct unannounced site visits at its sole discretion to determine whether there is full compliance with the regulations and statutes applicable.

2C. The licensee shall ensure that all individuals working, residing, volunteering, or regularly present in the licensed home obtain criminal record clearances or exemptions before being present in the licensed home.

2D. The licensee shall maintain current personnel records of each employee as required by Regulation section 102416.1 and ensure that all employees have current pediatric CPR-first aid training on file.

2E. Stipulation and Waiver; And Order CDSS No. 6624107101 shall be posted in a conspicuous place at the licensed home for the duration of the probationary period.

2F. The licensee shall have an accurate and current roster of children enrolled at the licensed home.

2G. The licensee must attend in person and complete the Family Child Care Home Orientation within six months of the adoption of Stipulation and Waiver; And Order CDSS No. 6624107101.

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Thuy HoTELEPHONE: (714) 287-8515
Archibaldo SilvaTELEPHONE: (510) 504-4954
DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2025
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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: RAMIREZ DE HERNANDEZ,YADHIRA
FACILITY NUMBER: 304310373
VISIT DATE: 03/19/2025
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2H. The licensee shall conduct quarterly training with staff regarding Care and Supervision according to Regulation section 102417(a).

2I. The licensee shall report to the Department any unusual incident as required by Regulation section 102416.2, including child death or injury that requires medical treatment, suspected physical, sexual, or verbal abuse of any child, physical plant changes, and unexplained absences of children in care.

2J. The licensee shall ensure that the primary focus of staff is the direct supervision of all children. Staff may not be simultaneously employed as cleaners by the licensee.

2K. The licensee shall maintain proper child to staff ratios. Staff may not walk away without first being relieved by another qualified staff.

2L. The licensee shall only accept children from age zero to under six years of age. The licensee shall not provide care for children ages six years old or older.

2M. The licensee shall ensure that children are separated and supervised by age groups. The younger group shall be children ages 0 to 18 months old. The older group shall be 18 months to 5 years old. There shall be a physical boundary separating the groups. Staff shall be assigned to supervise one group specifically. The younger group may commingle if children under 18 months are eating solids while restrained in a high chair. When children under 18 months are being bottle fed, separation must be maintained.

2N. The licensee shall provide to the Department two plans showing how the separation will be enacted. First, the licensee will provide a sketch depicting the physical separation of groups by age. Second, the licensee will provide a written daily outdoor activity schedule detailing separate outdoor time for the two age groups. The groups may not have simultaneous outdoor time.

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SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Archibaldo SilvaTELEPHONE: (510) 504-4954
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: RAMIREZ DE HERNANDEZ,YADHIRA
FACILITY NUMBER: 304310373
VISIT DATE: 03/19/2025
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2O. The licensee shall not apply for a new or additional license to operate any facility licensed by the Department, except for a change of location application. If a change of location is granted, the license will be subject to the probationary conditions stated in the Stipulation and Waiver; And Order CDSS No. 6624107101. The licensee shall not apply for TrustLine registration or a certificate from a foster family agency, or a certification as a facility administrator.

2P. The licensee shall be physically present in the licensed home premises for at least 80% of the facility’s operating hours. The licensee must inform the Department before absence from the licensed home, including start and end dates, names of the assistants present during the licensee’s absence, and the number of children in attendance during the licensee’s absence.

3A. During the probationary period, the licensee shall not apply, receive or hold, an administrator certificate or any license or certification to operate any facility licensed by the Department of Social Services, other than the probationary license granted herein. The licensee shall not apply for a Resource Family Approval.

4. The licensee understands that when the facility is not operating the probationary period shall be extended by the total time during which the facility is not operating.

6. The licensee agrees that violation of any of the terms shall constitute grounds for the revocation of the probationary license granted herein and the exclusion of the licensee.

8. The licensee understands that she must pay a fee equal to the annual fee for the license duration the period of probation.

12. The license understand that the Stipulation and Waiver; And Order CDSS No. 6624107101 is public record.

Exit interview conducted with licensee Yadhira Ramirez de Hernandez. Appeal Rights and a copy of this licensing report were provided and signatures on this report acknowledge receipt of these forms.

This meeting was conducted in Spanish per the Licensee’s request. The licensee understands that this is a review of the items outlined in this licensing report and that the licensee is responsible for reviewing the stipulation in its entirety.

End.

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Archibaldo SilvaTELEPHONE: (510) 504-4954
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
LIC809 (FAS) - (06/04)
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