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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004275
Report Date: 05/23/2022
Date Signed: 05/23/2022 12:00:24 PM


Document Has Been Signed on 05/23/2022 12:00 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, 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: 10DATE:
05/23/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Erica Ramos and Marc RamosTIME COMPLETED:
12:10 PM
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On 5/23/2022 at 11:30A.M., Licensing Program Analyst (LPA) Luis J. Gomez met with Licensees Marc Ramos and Erica Ramos. Purpose of the inspection was explained and was for an unannounced, plan of correction inspection. Inspection was established on 5/9/2022. Present were both licensees caring for 10 children. All children present are preschool age. LPA inspected facility for health and safety hazards.

During inspection, LPA performed observations and reviewed the facility records. On 5/22/2022, licensee submitted to the Department proof of mandated reporter certification (AB1207) renewal, which expires on 5/21/2024. Updated certificates have been stored in facility files.

Deficiencies issued on 5/9/2022, have been cleared and ‘Cleared Plan of Correction Letter’ was provided to licensee.

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

This report must be available in the facility for public review. Notice of site visit was provided to licensee and must remain posted for 30 days. Licensee was advised for additional questions to call San Bruno Child care Regional Office, Monday- Friday 8:00am-5:00pm, 650-266-8800 or 1-844-538-8766.
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 05/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/23/2022
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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