013423867-10-22-2024-02-CC-KSYS-DAAU3J-20241022151338

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423867
Report Date: 10/22/2024
Date Signed: 10/22/2024 03:13:52 PM

Document Has Been Signed on 10/22/2024 03:13 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	RAMIREZ, GUADALUPE		FACILITY NUMBER:	013423867
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	10/22/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Guadalupe Ramirez		TIME COMPLETED:	03:15 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 10/22/2024 at 1:15PM, Licensing Program Analysts (LPA's) Kareeca "Reeca" Sykes and Diana Campos conducted an *Unannounced Case Management – Licensee Initiated* for Guadalupe Ramirez to increase the capacity of licensee's small family child care home. LPA's met with licensee and guided analysts on a tour of the facility. During today's inspection, there were four (4) children in care (2 infant aged chidlren and 2 toddlers) and five (5) children enrolled. Residing in the home are licensee and licensee's spouse who is fingerprint cleared. Present during inspection was both the license and licensee's spouse. Days and hours of operation will be Monday – Friday from 8:00 AM - 5:30 PM. This home is a one story duplex composed of three (3) bedrooms, two (2) bathrooms, Living Room, Laundry area, Kitchen, and Backyard. On-Limit Area: Bedroom 1, Living room, Kitchen, Bathroom (to the left of Bedroom 1) and Backyard Off-Limit Areas: Bedroom 2, Bedroom 3, Bathroom (Located in bedroom 3). Isolation Area: Bedroom 1 away from children in care. OUTDOOR SPACE: LPA's toured the outdoor area which has ample amount of age appropriate toys the are observed to be safe, clean, and in good repair. LPA's reminded applicant when outside of facility, 100% supervision of children in care is required. LPA did not observed any bodies of water. Licensee has completed Pediatric CPR/First Aid certificate which expires 02/2025 and Mandated Reporter certificate which expires 01/2025. Licensee has provided proof of all immunization's. Children's and Staff files were reviewed. Fire and Distater drills have been reviewed and are up to date. *Continued on Page 2*

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Kareeca Sykes	TELEPHONE: 510-622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: RAMIREZ, GUADALUPE	FACILITY NUMBER: 013423867
	VISIT DATE: 10/22/2024

NARRATIVE

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The Licensee provided a full rental agreement proof of control of property and has obtained a signed Property Owner/Landlord Consent form (LIC9149). There is a working telephone in the home.

Fire clearance request was approved on 10/11/2024 by Inspector DeMarie Sams of the Oakland Fire Department. LPA's toured all areas used by children during this visit. Per Inspector DeMarie Sams, the licensee or staff cannot care or supervise children on the second story (which is not apart of the rental agreement) Inspector Sams stated that the second floor is off limits to children.

Per licensee, there are no pets in the home and there are no firearms in the home. There is an electric fireplace located in the living room and made inaccessible to children in care. LPA's observed a fully charged 3A40BC fire extinguisher, working dual smoke and carbon monoxide detector. Medicines, cleaning products, sharp objects are stored inaccessible to children. LPA's reminded that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family child care homes.

LPA discussed and reminded Applicant day care needs to be operated within the limitations and capacity of a Large Family Child Care Home with regards to ratios and that Licensee has to be present in the day care for 80% of the operation hours. All documents have been reviewed for the increase of capacity application. The Licensee was reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at:https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

LPA provided the main office number for the Oakland Regional Child Care office (510) 622-2602. Licensees are to call and report injuries or unusual incidents within 24 hours of knowledge of occurrence. Licensees are to review the form (LIC 624B) to follow up in writing within 7 days of the injury/unusual incident.

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SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Kareeca Sykes	TELEPHONE: 510-622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: RAMIREZ, GUADALUPE	FACILITY NUMBER: 013423867
	VISIT DATE: 10/22/2024

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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Prior to having the Change of Capacity - Increase approved licensee will submit the following corrections:

Updated Mandated Reporter for Joel Escamilla.

Once corrections have been submitted file will be submitted for managers final file review and approval.

During today's inspection, there were no violation observed.

Exit interview conducted and report was reviewed with the licensee, Guadalupe Ramirez. A notice of site visit was given and must remain posted for 30 consecutive days.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Kareeca Sykes	TELEPHONE: 510-622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

LIC809 (FAS) - (06/04)

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