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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515407764
Report Date: 09/27/2021
Date Signed: 10/19/2021 04:09:29 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:RAMIREZ, JUANITA FAMILY CHILD CARE HOMEFACILITY NUMBER:
515407764
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
09/27/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Juanita RamirezTIME COMPLETED:
12:35 PM
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On 9/27/2021 at 10:55am, Licensing Program Analyst (LPA) Laura Chavez conducted a Required -1 year inspection. The inspection is in conjunction with the licensee's request for an increase in capacity to 14. The facility file was reviewed prior to this visit. A review of the Facility Personnel Report Summary dated 9/27/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances. Currently three adults reside in the home. The home and grounds were toured, and the licensee was operating within the licensed capacity. No children were observed in parked cars. The licensee operates 24 hours a day, Monday-Friday. The licensee understands that 24 hour care shall not be provided to one child at any one time. There is a working telephone in the home. The floor & yard plan were verified. The home is clean and orderly, with ventilation for safety and comfort. LPA observed toys, play equipment and materials available for children to be safe. The fire extinguisher, smoke detector and carbon monoxide detector in the home meet the standards required. Detergents, cleaning compounds, medications, and other items which could pose a danger to children are stored and inaccessible to children. Poisons are inaccessible to children and locked in a locked in the detached garage. The licensee stated there are no firearms and/or other dangerous weapons in the home, and none were observed during todays inspection. Five children’s records were reviewed at 12:15pm, and contained emergency identification forms. The licensee understands that any child showing signs of illness shall be separated from other children. The licensee completed the Mandated Reporter Training on 7/23/2020.
Report Continued: See LIC809-C
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021
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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: RAMIREZ, JUANITA FAMILY CHILD CARE HOME
FACILITY NUMBER: 515407764
VISIT DATE: 09/27/2021
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The licensee's CPR and First Aid expire 1/2023. The licensee's immunization's are on file. The backyard is completely fenced. There were no pools or other bodies of water observed in or around the property. The licensee stated the the large trampoline located outside of the fenced in play yard is not used for children. This report was reviewed and discussed with the Licensee. All licensing reports are public information and must be made available upon request for at least three years.
Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's infant program Annual Random inspection.

The following is required prior to granting the increase in capacity:

1. Proof of a fire inspection approval.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021
LIC809 (FAS) - (06/04)
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