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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626370
Report Date: 07/25/2019
Date Signed: 07/25/2019 05:08:23 PM

COMPREHENSIVE INSPECTION
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, MARGARITA FAMILY CHILD CAREFACILITY NUMBER:
376626370
ADMINISTRATOR:MARGARITA RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 564-8982
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:14CENSUS: 9DATE:
07/25/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Margarita RamirezTIME COMPLETED:
03:15 PM
NARRATIVE
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LPA, Luigi Gargaro, conducted an unannounced inspection with the licensee. The home was toured and inspected to ensure an environment safe for the care and supervision of children per the standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Present were the licensee, her husband Alejandro Sanchez, daughter Pamela Sanchez and 9 day care children. The fire extinguisher and combination smoke and carbon monoxide detectors meet requirements and are operational. Most hazardous items were latched/locked and secured out of reach of children. The licensee was asked whether she had bodies of water or weapons in the home and she replied no. A review of staff records on this date indicates that all adults or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. First Aid and CPR certifications expire on 10/20/20 for the licensee. Children’s records were reviewed.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include: the dining area, the living room and the day care bathroom. The following areas are off limits: the kitchen, the two home bedrooms and the garage and adjoining laundry room. The kitchen is made off limits with an installed safety gate. The bedrooms are made off limits with door locks. The garage, located in the backyard, is made off limits with a highly placed latch and bolt and the laundry room is inaccessible with a door lock. The applicant has sufficient toys and equipment available. The home has a side concrete yard area available for outdoor activities. The yard contains an off limits shed that is made off limits with a lock. Applicant has an adjoining casita off the back/side yard that is made off limits with a latching gate and is where her cleared and associated daughter, Pamela Sanchez, resides. 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. LPA and licensee discussed California Megan's Law and he provided licensee with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis.

The licensee was cited for three type B violations during today's visit (see related 809D citations page). Analyst printed a copy of the Notice Of Site Visit today and had licensee place it in her facility notice area before he left the home.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019
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 2
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, MARGARITA FAMILY CHILD CARE
FACILITY NUMBER: 376626370
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/25/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/29/2019
Section Cited
CCR
102417(g)(4)
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Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
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LIcensee immediately removed the items and moved them to an area inaccessible to children in care. However, licensee states she will install a latch on the bathroom cabinet so that personal use items can remain in there and still be inaccessible. Licensee will install the latch by 07/29/19 and submit a photo of the installed latch to analyst at that time to complete the correction.
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This requirement was not met when during today's visit air freshener and mouthwash which has a "keep out of reach of children" warning label were found on the bathroom toilet tank and in an unlatched cabinet underneath the bathroom sink, respectively. This was a potential risk to children in care as though they were in closed containers they were still accessible to children in the for use bathroom.
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Type B
08/05/2019
Section Cited
CCR
102421
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Child's Records. The licensee shall maintain children's records as required. This requirement was not met when licensee had no records on file for child #7. Not having record files for children in care is a potential risk to them.
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Licensee has until 08/05/19 within which to provide a records packet to the parent of the child in care and have her return it for the licensee's files. Analyst will review files during return plan of correction visit.
Type B
08/05/2019
Section Cited
CCR
102418(g)
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Immunizations. The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled, This requirement was not met when licensee had no shot records for children #3 & #5.
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Not having immuniization records on file is a potential health and safety risk for children in care. Licensee has until 08/05/19 within which obtain shot records from respective parents and transfer them to immunization blue cards. Analyst will review files during return plan of correction visit.
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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019
LIC809 (FAS) - (06/04)
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