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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566206849
Report Date: 10/05/2021
Date Signed: 10/05/2021 02:01:44 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
566206849
ADMINISTRATOR:RAMIREZ, MARCELINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 382-9359
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY:14CENSUS: 2DATE:
10/05/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Marcelina RamirezTIME COMPLETED:
02:10 PM
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On October 5, 2021 at 1:10 PM Licensing Program Analysts (LPA) Austin Rios conducted an unannounced annual inspection. LPA asked Covid-19 screening questions prior to entering the home. LPA met with licensee Marcelina Ramirez and discussed the nature and purpose of the inspection. Together both licensee and LPA conducted a tour of the home inside and outside. There was two children in care at the time of the inspection.

The licensee uses the living room, kitchen, one bedroom, one restroom, and backyard for the day-care. LPA observed two gates preventing children from having access to the dining room. LPA aslo observed a gate in front of the stairs making it inaccessible to children in care. There are no bodies of water in the home. Licensee states that there are no firearms and ammunition in the home. LPA did not observe toxins/hazards accessible to children in care. In the family room, LPA observed a fireplace with a shelf in front of it in the living room preventing children from having access. There are age appropriate toys and furniture readily accessible to children in the living room. The backyard is fully enclosed with a cocrete wall. Licensee has age appropriate toys and play structures in the backyard in good condition and free of hazards. LPA observed there was ample amount of shade available for children.

The home has a working smoke and carbon monoxide detector. A 2A10BC fire extinguisher was observed in the kitchen with a service date of 3/22/2021. Licensee has a valid Pediatric CPR/First Aid certificate with an expiration date of 9/2022. Licensee has AB 1207 Mandated Reporter Training Certificate on file. The last fire drill was conducted on 8/23/2023. All required forms are prominently posted for parent's or authorized representatives at the entrance of the facility.

Continued on 809-C

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2021
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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 566206849
VISIT DATE: 10/05/2021
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A roster of children in care was observed current and complete. A sampling of children's records were reviewed and found complete.

LPAs spoke with licensee regarding safe sleep regulations and provided licensee with safe sleep forms.

Incidental Medical Services (IMS) was discussed. Licensee states currently no children with IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

No deficiencies were cited during today's visit.



THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2021
LIC809 (FAS) - (06/04)
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