<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376626370
Report Date:
06/12/2024
Date Signed:
06/12/2024 05:30:38 PM
Document Has Been Signed on
06/12/2024 05:30 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
,
7575 METROPOLITAN DR., STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
RAMIREZ, MARGARITA FAMILY CHILD CARE
FACILITY NUMBER:
376626370
ADMINISTRATOR:
MARGARITA RAMIREZ
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(619) 564-8982
CITY:
SAN DIEGO
STATE:
CA
ZIP CODE:
92105
CAPACITY:
14
CENSUS:
8
DATE:
06/12/2024
TYPE OF VISIT:
Annual/Required
UNANNOUNCED
TIME BEGAN:
02:15 PM
MET WITH:
Margarita Ramirez and Alexis Sanchez
TIME COMPLETED:
05:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On June 12, 2024 at 2:15PM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the licensee, Margarita Ramirez. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee. Eight (8) children, provider Ramirez and her cleared and associated daughter Alexis Sanchez were present in the facility during this inspection. This facility is a one story, two
bedroom, one bathroom home. Licensee accompanied LPA inside and out of the facility during this inspection.
The following areas used for child care are: the kitchen, the dining area, the living room and the day care bathroom. Off limits areas are: the two home bedrooms and the garage and adjoining laundry room. 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. Licensee 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.
The fire extinguisher met requirements. Most hazardous items were inaccessible to
children. The licensee has toys, play equipment and materials available The home has a front concrete yard area available for outdoor activities. No bodies of water observed on the premises during the inspection. Licensee stated there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions.
Licensee’s First Aid and CPR certifications were not available for review today. Licensee and assistant have not completed Mandated Reporter Training
SUPERVISOR'S NAME:
Jason Garay
TELEPHONE:
(619) 767-2250
LICENSING EVALUATOR NAME:
Luigi Gargaro
TELEPHONE:
(619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE:
06/12/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/12/2024
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
7
Document Has Been Signed on
06/12/2024 05:30 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
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:
06/12/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.543
Licensure Requirements
Every family day care home for children shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 Division 12. The department shall account for the presence of these detectors during inspections.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on analyst observation and interview, the licensee did not comply with the section cited above as during today's visit she did not have a carbon monoxide detector which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date:
06/17/2024
Plan of Correction
1
2
3
4
Licensee states she will purchase a new combination carbon monoxide/smoke detector and install it in the home and then send analyst a copy of the purchase receipt by 06/17/24 to complete the correction.
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on analyst observation and interview, the licensee did not comply with the section cited above as during today's visit she did not have a smoke detector which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date:
06/17/2024
Plan of Correction
1
2
3
4
Licensee states she will purchase a new combination smoke/carbon monoxide detector and install it in the home and then send analyst a copy of the purchase receipt by 06/17/24 to complete the correction.
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 Garay
TELEPHONE:
(619) 767-2250
LICENSING EVALUATOR NAME:
Luigi Gargaro
TELEPHONE:
(619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE:
06/12/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/12/2024
LIC809
(FAS) - (06/04)
Page:
2
of
7
Document Has Been Signed on
06/12/2024 05:30 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
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:
06/12/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) 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.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on analyst observation, the licensee did not comply with the section cited above as latches were broken for the drawer where knives are kept in the kitchen and in the cabinet underneath the sink where cleaners are kept which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date:
06/17/2024
Plan of Correction
1
2
3
4
Licensee was able to replace the broken drawer latch but not the cabinet latch. Licensee purchased a cabinet latch on-line before analyst completed his vist and will install it when it arrives and send analyst a photo of it by 06/17/24 to complete the correction.
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview, the licensee did not comply with the section cited above as she has not conducted fire and disaster drill with children in care which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date:
06/24/2024
Plan of Correction
1
2
3
4
Analyst provided licensee with a blank fire drill log and licensee states she will conduct fire and earthquake drills with children in care, document them and send analyst a copy of the updated log by 06/24/24 to complete the correction. Licensee will continue to conduct drills every six months as required.
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 Garay
TELEPHONE:
(619) 767-2250
LICENSING EVALUATOR NAME:
Luigi Gargaro
TELEPHONE:
(619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE:
06/12/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/12/2024
LIC809
(FAS) - (06/04)
Page:
3
of
7
Document Has Been Signed on
06/12/2024 05:30 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
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:
06/12/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)(B)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on analyst interview and record review, the licensee did not comply with the section cited above as she was not maintining a safe sleep for the one infant in care, child #1, which poses/posed a potential health, safety or personal rights risk to infants in care.
POC Due Date:
06/24/2024
Plan of Correction
1
2
3
4
Licensee was provided a sample of the safe sleep log and states she will maintain the log everyday the child naps going forward. She will aslo send analyst a copy of the log for child #1 from 06/13/24 - 06/21/24 to complete the correction and demonstrate compliance with the nap logging requirement.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on analyst interview and record review, neither the licensee or her assistant daughter, Alexis Sanchez complied with the section cited above as they did not have a mandated reporter certificate from the past two years which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date:
07/15/2024
Plan of Correction
1
2
3
4
Licensee and assistant were provided with a mandated reporter training flyer and stated they will complete the free on-line training and send analyst a copy of their certificates of completion by 07/15/24 to complete the correction.
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 Garay
TELEPHONE:
(619) 767-2250
LICENSING EVALUATOR NAME:
Luigi Gargaro
TELEPHONE:
(619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE:
06/12/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/12/2024
LIC809
(FAS) - (06/04)
Page:
4
of
7
Document Has Been Signed on
06/12/2024 05:30 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
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:
06/12/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on analyst record review, the licensee did not comply with the section cited above as neither she or her assistant daughter were able to provide analyst with a current copy of their CPR/First Aid certifications which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date:
07/15/2024
Plan of Correction
1
2
3
4
Licensee states she and her daughter will take an EMSA approved CPR/First Aid training class and provide analyst with copies of their completed certifications by 07/15/24 to complete the corrections.
Type B
Section Cited
CCR
102421(b)
Child's Records
(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required
in Section 102417(g)(7).
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on analyst record review, the licensee did not comply with the section cited above as children #1 and #5 did not contain any record files which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date:
06/24/2024
Plan of Correction
1
2
3
4
Licensee states she will have the parents complete the record forms for children in care and then send analyst copies of the completed forms for child #1 by 06/24/24 to complete the correction.
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 Garay
TELEPHONE:
(619) 767-2250
LICENSING EVALUATOR NAME:
Luigi Gargaro
TELEPHONE:
(619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE:
06/12/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/12/2024
LIC809
(FAS) - (06/04)
Page:
5
of
7
Document Has Been Signed on
06/12/2024 05:30 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
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:
06/12/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on analyst record review, the licensee did not comply with the section cited above as she did not have a completed plan for the only infant in care, child #1, which poses/posed a potential health, safety or personal rights risk to infants in care.
POC Due Date:
06/24/2024
Plan of Correction
1
2
3
4
Licensee was provided with a blank copy of the infant sleeping plan form and will provide it to parent to complete and return. Licensee states she will submit a copy of the completed from to analyst by 06/24/24 to complete the correction.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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 Garay
TELEPHONE:
(619) 767-2250
LICENSING EVALUATOR NAME:
Luigi Gargaro
TELEPHONE:
(619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE:
06/12/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/12/2024
LIC809
(FAS) - (06/04)
Page:
6
of
7
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
VISIT DATE:
06/12/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Facility roster is maintained and was reviewed. The last fire and disaster drills were not conducted in the last six months. There is one crib or play yard for each infant who is unable to climb out of the crib or play yard.
Cribs or play yards are free from all loose articles and objects.
The provider has not physically checked on sleeping infants every 15 minutes.
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] is not maintained for each infant up to 12 months of age.
The provider places infants up to 12 months of age on their backs for sleeping.
LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided:
www.meganslaw.ca.gov
.
LPA discussed and provided Licensee with the following: child care advocates email address:
childcareadvocatesprogram@dss.ca.gov
. In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.
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
.
Nine type B deficiencies are being cited California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D.
An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC
9058
12/15) and their signature on this form acknowledges receipt of these rights.
LPA provided notice of site visit and observed it being posted at the facility.
SUPERVISOR'S NAME:
Jason Garay
TELEPHONE:
(619) 767-2250
LICENSING EVALUATOR NAME:
Luigi Gargaro
TELEPHONE:
(619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE:
06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/12/2024
LIC809
(FAS) - (06/04)
Page:
7
of
7