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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426215780
Report Date: 01/21/2020
Date Signed: 01/21/2020 03:42:09 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/28/2019 and conducted by Evaluator Elvin Baddley
COMPLAINT CONTROL NUMBER: 17-CC-20191028163405
FACILITY NAME:RAMIREZ FCC AKA TINY TOTS CHILD CAREFACILITY NUMBER:
426215780
ADMINISTRATOR:ERICA RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 406-9471
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: 13DATE:
01/21/2020
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Erica RamirezTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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1. Facility staff operating out of ratio
2. Facility staff failing to treat injured child
INVESTIGATION FINDINGS:
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On January 21, 2020, at 2:00 PM, Licensing Program Analyst (LPA) Elvin Baddley made an unannounced inspection to the aforementioned Family Child Care Home (FCCH) in order to complete the investigation of the above allegations. LPA met Erica Ramirez, Licensee of the FCCH. Thirteen children are on site at the time of the inspection.

The investigation included record reviews, interviewing the Licensee, a sampling of current and past parents of children enrolled in the FCCH.

The allegations reference the FCCH operating out of ratio and staff failing to treat an injured child. The injured child (Child #2) fell from a play structure and landed onto a concrete slab, sustaining a bump on the forehead.

An interview with Licensee revealed the FCCH provides "Boo Boo" reports, formally known as Ouch
CONT. 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 17-CC-20191028163405
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RAMIREZ FCC AKA TINY TOTS CHILD CARE
FACILITY NUMBER: 426215780
VISIT DATE: 01/21/2020
NARRATIVE
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reports, to the parent after their child has in the hurt or injured at the FCCH. LPA did observe a Boo Boo Repot for Child #2, who fell from a play structure and landed onto the concrete. The Boo Boo Report also noted Child# 2 received ice to the injured/hurt area (forehead) and the parent/guardian of Child # 2 signed the form. Further, an interview with the parent/guardian of Child #2 revealed the Licensee informed of the incident and applied ice to the forehead of Child # 2. It should be noted the parent/guardian of Child #2 did not seek medical attention for Child #2 after the incident.

LPA could not be corroborated the facility being out of ratio at the time of the incident. Parents/Guardians interviewed informed the LPA two to three staff members were always on site when children were dropped off or picked up from the FCCH.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2