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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842796
Report Date: 05/12/2022
Date Signed: 05/12/2022 02:59:19 PM


Document Has Been Signed on 05/12/2022 02:59 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
334842796
ADMINISTRATOR:RAMIREZ, ANALILIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(442) 300-1072
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: 4DATE:
05/12/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Analilia RamirezTIME COMPLETED:
03:00 PM
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On the May 12, 2022, Licensing Program Analyst (LPA) Ana Noble arrived at the facility to conduct a Case Management-Incident inspection to follow-up on Unusual Incident Report (UIR) received by the Department. The UIR is dated 4/29/2022. LPA met with Analilia Ramirez, Licensee to discuss the incident. A tour of the facility was granted, and census was conducted.

It was reported that Child (C1), was left in a pooped and wet diapers on more than 3 occasions. LPA conducted interview with Ms. Ramirez. Licensee denied that C1 had been left in dirty diapers on more than 3 occasions, which caused a diaper rash. However Licensee admitted that on one occasion C1 had been checked before napping, upon child waken up child had gone poop in their diaper. Licensee immediately changed child's diaper upon waking up from nap. Licensee notice a little redness, but not a rash. Upon C1 being picked on this date child was not picked up by C1's parent. Child had been picked up by another authorized representative (W1). Licensee notified W1 of this information.

LPA determined that the facility was not in violation of Title 22 Regulations. There is no evidence to determined if C1 had sustained the diaper rashes at the facility or else where, due to C1 being left in dirty diapers which caused diaper rashes to C1.

Based on information gathered there were no citations issued during this visit found at this time. An exit interview was conducted, a copy of this report and appeal rights were reviewed and provided with Licensee, Analilia Ramirez.

An exit interview was conducted, and a copy of this report was provided to the Licensee, Analilia Ramirez. A Notice of Site Visit was issued, and the Licensee understands that it must remain posted for 30 days and must be kept for a total of 3 year and available to the public upon request.

SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Ana NobleTELEPHONE: (951) 295-5832
LICENSING EVALUATOR SIGNATURE:
DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/12/2022
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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