543909664-3-7-2020-04-CC-DDMZ-BMGMWN-20200307085837

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543909664
Report Date: 03/06/2020
Date Signed: 03/07/2020 08:58:43 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	RAMIREZ, SYLVIA FAMILY CHILD CARE		FACILITY NUMBER:	543909664
ADMINISTRATOR:	RAMIREZ, SYLVIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 397-2221
CITY:	DINUBA	STATE: CA	ZIP CODE:	93618
CAPACITY:	14	CENSUS: 6	DATE:	03/06/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Sylvia Ramirez		TIME COMPLETED:	01:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 3/6/20 Licensing Program Analyst (LPA) Diana Martinez conducted an unannounced annual inspection. LPA met with licensee Sylvia Ramirez. Also present were two assistants. Six children were present today including licensee’s two minor children. LPA conducted an interior and exterior tour of the home. The accessible rooms are the great room, dining area, kitchen, hall bathroom and one bedroom that is used as a napping room for children. The off-limit rooms are made inaccessible with child safety plastic door knob covers. Safe, healthful, and comfortable accommodations, furnishings, and equipment were observed. Also observed were safe toys, play equipment, and materials. Licensee does not have any pets. There are no bodies of water on the premises and no firearms in the home. No poisons were observed on the premises. Cleaning compounds, medications and other hazardous items are inaccessible to children. There is no fireplace. There is a working fire extinguisher, smoke detector, carbon monoxide indicator, and adequate heating and ventilation for safety and comfort. There are no stairs in the home. There is a working telephone and number was verified. Adequate supervision is being provided during this inspection. Capacity as specified on the license is being maintained. A current roster of the children in care is maintained. Licensee maintains documentation of immunizations for the children. Licensee maintains documentation of immunizations against pertussis, measles and influenza for herself and assistants. Pediatric CPR/First Aid are current with the expiration date of 10/11/21. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that when any IMS is provided, a plan for providing IMS must be submitted to the licensing office. The following information regarding 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: http://www.ada.gov/childqanda.htm. (See next page)

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Diana D Martinez	TELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

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 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: RAMIREZ, SYLVIA FAMILY CHILD CARE	FACILITY NUMBER: 543909664
	VISIT DATE: 03/06/2020

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Licensee has provided parents with a copy of the Identification and Emergency Information form (LIC 700). Fire drills are conducted and documented with the date and time every month. Licensee is aware that children are never to be left in parked vehicles. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Licensee is aware that upon notice from the Department, any excluded individual must be immediately removed from the home and prevented from returning to the home or having contact with children in care. Licensee is aware that any authorized employee of the Department may enter and inspect any place providing personal care and services at any time, with or without advance notice.

Days and hours of operation are Monday – Friday from 6:00 AM – 6:00 PM.

LPA reviewed and provided information to licensee regarding prohibited infant equipment and new proposed safe sleep regulations. LPA discussed with licensee that if no assistant provider is present at a large FCCH, then licensee must comply with the capacity requirements for a small FCCH. Licensee was provided with a packet of licensing forms.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, no deficiencies cited during today's inspection.

An exit interview was conducted with licensee Sylvia Ramirez and a copy of this report was provided and discussed. A Notice of Site Visit Form (LIC 9213) was posted on parent's board and must remain posted for 30 days.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Diana D Martinez	TELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2