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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376612896
Report Date: 01/15/2020
Date Signed: 01/15/2020 12:26:40 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:RAMIREZ, OLGA FAMILY CHILD CAREFACILITY NUMBER:
376612896
ADMINISTRATOR:RAMIREZ, OLGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 788-1045
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:14CENSUS: 6DATE:
01/15/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Olga Ramirez, LicenseeTIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Michelle Hood made an unannounced inspection for the purpose of an Annual/Random inspection. During this inspection, there were six (6) children and two (2) staff members. All adults living or working in the home have been fingerprint cleared and associated.

Off limits areas are made inaccessible to day care children through the use of doorknob covers and safety gates. Fireplace is barricaded. A fenced backyard is used for outdoor play. Licensee was reminded to provide direct supervision when these areas are in use. No bodies of water were observed during time of inspection. There is a working telephone in the home and all required forms are posted. There is a working fire extinguisher rated 3A 40B:C, smoke and carbon monoxide detector are present and operational. The home is clean and orderly, with heating and ventilation for safety and comfort for the children in care. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children through the use of cabinet latches. Children’s toys play equipment and materials are available. Licensee states there are NO firearms or weapons in the home. LPA reviewed a sample of Children’s Records, licensee maintains the Notification of Parents’ Rights and Immunization Records as required. LPA and Licensee discussed, New immunization law (SB792), Safe Sleep, Effects of Lead Exposure and California Megan's Law, LPA provided: www.meganslaw.ca.gov. Licensee maintains a current facility roster of the children which LPA obtained a copy during time of inspection. Last emergency drill was conducted on 01/09/2020. Licensee's pediatric CPR/FA certification expires on 03/2021.



Licensee is not currently providing IMS. Licensee understands that a written plan of operation must be submitted to CCL prior to enrolling a child who requires IMS. 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 http://www.ada.gov/childqanda.htm
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2020
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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: RAMIREZ, OLGA FAMILY CHILD CARE
FACILITY NUMBER: 376612896
VISIT DATE: 01/15/2020
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LPA reviewed this report with licensee and an exit interview was conducted. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed Licensee post notice of site visit.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2020
LIC809 (FAS) - (06/04)
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