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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408422
Report Date: 01/19/2023
Date Signed: 01/19/2023 10:53:49 AM

Document Has Been Signed on 01/19/2023 10:53 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:RAMIREZ, LESLIEFACILITY NUMBER:
073408422
ADMINISTRATOR:RAMIREZ, LESLIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 301-5536
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
01/19/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Leslie RamirezTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced Plan of Correction (POC) inspection. Present during today's inspection was the licensee, her fingerprint cleared daughter/assistant, 10 preschool aged children and 2 infants in care.

An annual inspection was conducted on 1/17/23. During the annual inspection the licensee was operating beyond the capacity/ratio specified on the licensee. During today's inspection the licensee is operating within the capacity/ratio specified on the licensee. The citation issued on 1/17/23 is cleared during today's inspection.

Exit interview and report reviewed with Leslie Ramirez.and her daughter Michelle Armijo.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2023
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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