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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004275
Report Date: 05/09/2022
Date Signed: 05/09/2022 11:57:04 AM


Document Has Been Signed on 05/09/2022 11:57 AM - 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, 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: 7DATE:
05/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Erica Ramos, Marc RamosTIME COMPLETED:
12:05 PM
NARRATIVE
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On 5/9/2022 at 8:45A.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 unannounced, Annual Random inspection. Present in facility was both licensees caring for seven children. (1 Infant age, 6 preschool age) All adults have their criminal record clearances on file. 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 are: Dining Room, Bedroom #2 (Napping Only), Living Room (Playroom), Bathroom #1 and Patio Area. Off-limit Areas are: Kitchen, Bedroom #1, Garage (detached), Bedroom #3 (Upper Loft), Bathroom #2. LPA inspected entire home with licensees for health and safety hazards.

At 8:55A.M., the following was observed: Home was kept clean and orderly with age appropriate playthings available for the children. All furniture inspected was in good repair and properly anchored. Dining room had child size table with chairs for snack and activities. Individual hangers were located in entry way for children belongings. For napping services, cleanable napping cots are stored in playroom. LPA observed several infant cribs located in bedroom #2. Infant mattress inspected were the proper size. Facility had at least one crib available for each infant in care. Bathroom #1 located in hallway was observed clean and with supplies available hand-washing. Bathroom fixtures were in proper operating condition. Off-limit areas, including staircase and facility kitchen, had been made inaccessible with child safety gates. Outlets and trash bins had been properly covered. Cleaning detergents, compounds, wipes, spray bottles and items which could pose a danger, were stored inaccessible to day-care children. Facility was the proper temperature with adequate ventilation and sufficient lighting. Home had functioning telephone, smoke/ carbon monoxide detector combo and two (2) charged fire extinguishers (2A:10BC). (REFER TO 809C FOR CONT.)
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2022
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 5


Document Has Been Signed on 05/09/2022 11:57 AM - 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066


FACILITY NAME: RAMOS, ERICA K. & RAMOS, MARC A.
FACILITY NUMBER: 384004275

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
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
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Based on record review and interviews, LPA confirmed licensees do not have their updated mandated reporter training certifications (AD1207). This poses a potential health and safety risk to children in care.
POC Due Date: 05/27/2022
Plan of Correction
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Licensees will ensure that the required mandated reporter certifications is updated by the due date: 5/27/2022. Proof of correction will be submitted to the department via email.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2022
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: 05/09/2022
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(Page 2)

At 9:20A.M, LPA inspected patio area. Area was completely enclosed and was free of any potential hazards. Play items inspected where in like-new condition. Patio area had sufficient shading for the children. Home did not have any swimming pools, spas, hot tubs, fishponds or other bodies of water.

At 9:25A.M., LPA reviewed the facility and children’s records. Children's records were reviewed and included, (LIC700) Identification of Emergency Information, (LIC627) Consent for Medical Treatment, (LIC995A) Notification of Parent's Rights and Immunization Record.

Licensees were reminded that all of the children's files must be maintained in the facility and available for department review.

LPA reminded licensees to maintained the required napping logs, with documentation of each 15 minute check, for all qualifying infants in care. During inspection, Advisory Note: Technical Assistance (LIC9102) was issued.

At 9:40A.M., Based on record review and interviews, LPA confirmed licensees do not have their updated mandated reporter training certifications (AD1207).

Provider's Cardiopulmonary Resuscitation (CPR)/ First Aid Certification was current, expiring on 1/2024. On 12/13/2022, facility conducting emergency disaster drill. Drill had been properly logged.

LPA observed required posting, including: Facility License, Notification of Parent’s Rights and Emergency Disaster Plan (LIC610A) properly posted in facility. Children's Roster (LIC500) was reviewed during inspection and was current.

Per licensees, no children in care require incidental medical services (IMS) at this time. Per licensees, facility provides all lunch and snack for children in care. LPA asked staff to ensure all children’s food containers brought to facility by families are properly labelled. Per licensee, home does not have any no guns or weapons. LPA observed pet cat and dog in the facility. Per licensee, both has been vaccinated. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: 05/09/2022
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(Page 3)

Licensee was reminded that all adults 18 years and over living or working in the home, including employee and volunteers, must obtain criminal clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/ day up to $500.00 maximum per day/ per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed Child Care Licensing Safe Sleep Web page at:https://www.cdss.ca.gov/inforesource/child-care-licesning/public-information-and-resources/safe-sleep as an additional resource. LPA informed licensee of the importance of checking for recalled infant devices on United States consumer Product Safety Commission (CPSC) website at http://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tool, please send them to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesource/community-care-licensing/inspection-process.

Based on today's inspection, deficiencies were observed in areas evaluated, according to California Title 22, Health and Safety Code of Regulations. Exit interview and plan of correction was reviewed with Licensee, Erica Ramos and signature of this form acknowledges receipt of these documents.



Notice of Site Visit was provided and must be posted for 30 days.

This report must be available in the facility for public review. Licensee was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022
LIC809 (FAS) - (06/04)
Page: 5 of 5