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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004275
Report Date: 06/04/2021
Date Signed: 06/04/2021 11:41:26 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:RAMOS, ERICA K. & RAMOS, MARC A.FACILITY NUMBER:
384004275
ADMINISTRATOR:RAMOS, ERICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 341-4144
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:14CENSUS: 9DATE:
06/04/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Licensees, Erica Ramos and Marc RamosTIME COMPLETED:
11:45 AM
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On 6/4/2021 at 9:00A.M. Licensing Program Analyst (LPA), Luis J. Gomez met with licensees, Erica Ramos and Marc Ramos. Purpose of the inspection was explained and was for an annual inspection and to review COVID-19 procedures and protocols. Present in facility was both licensees caring for nine children; Four preschool age, Four infant age and one school age. Licensee is within the required capacity limit on this day. Licensee’s home is a three- bedroom, two bathroom, two level house. Days and Hours of operations are: Monday – Friday, 8:00 A.M.,- 5:00 P.M. Day-care Areas: Dining Room, Bedroom #2, Living Room (Playroom), Bathroom #1 and Patio Area. Off-limit Area: Kitchen, Half bathroom (Bathroom #2), Bedroom #1, Garage (detached) and Bedroom #3 (Upper Loft). Home was inspected with licensees for health and safety hazards.

At 9:05A.M., LPA inspected Playroom, Dining Room, Bedroom #2 (Napping only) and Bathroom #1. Day-care area was clean and orderly with a variety of age appropriate toys, blocks and supplies for the children. All furniture and playthings inspected were in good repair. Day-care had child size tables and chairs for meals and activities. Bedroom #2, located in facility hallway, has several cribs and cots for nap time. Accessible outlets and trash cans have been covered. Bathroom #1, located in playroom, was clean with adequate supplies for the children. Cleaning supplies, poisons and other chemicals were stored inaccessible to children. Facility was the proper temperature, with ventilation and natural lighting. All off-limit areas are made inaccessible with use of locked doors and child safe gates. All accessible cabinets had been properly secured with child safety locks.

At 10:00A.M. LPA inspected Patio Area. LPA observed area is completely enclosed. There were hangers and baskets for children’s belongings. All outdoor playthings were in good repair. Home did not have a swimming pool, spa, hot tub, fishpond or any other bodies of water. Day-care had a functioning phone, smoke/ carbon monoxide detector combo and a fully charged fire extinguisher (2A:40BC), located in the kitchen and playroom. (REFER TO 809-C FOR CONT.)
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: RAMOS, ERICA K. & RAMOS, MARC A.
FACILITY NUMBER: 384004275
VISIT DATE: 06/04/2021
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At 10:15A.M., LPA reviewed three children’s files and the facility files. LPA reminded licensee to log emergency disaster drills every six months. Children's Roster had been updated. Licensees CPR/ 1st aid certifications were current, expiring: 02/2022. Licensees mandated reporter training is current, expiring 11/2021. Facility license, emergency disaster plan, COVID-19 guidance and parent's rights were posted in the day-care. Per licensee, program provides lunch and snack for the children. Licensee stated there are no guns or weapons in the home. Licensee had a pet dog and cat. Per licensee both had been vaccines.

Incidental Medical Services (IMS) 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 Americans with Disabilities Act (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: www.ada.gov/childqanda.htm.

During inspection,
· Applicant was informed about the Provider Information Notices (PINs) on CCLD website. Safe Sleep handout and PINs were discussed.
· Licensee was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com
· Licensee was reminded about the Provider Information Notices (PINs) on CCLD website.
Licensee was advised for any additional questions to contact CCLD office, Monday to Friday, 8:00 am - 5:00 pm, (650) 266-8800 or 1 (844) 538-8766. Website: www.cdss.ca.gov

Based on today's inspection, no deficiencies were cited in the areas evaluated according the Title 22 Division 12 Ca. Code of Regulations. Exit interview was conducted with Erica Ramos, and her signature of this form acknowledges receipt of these documents.



>This report and rights to comment and appeal were discussed with Licensee. This report must be available in the facility for public review. Notice of site inspection was posted.
Licensee was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
LIC809 (FAS) - (06/04)
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