<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408422
Report Date: 11/09/2021
Date Signed: 11/09/2021 04:25:44 PM

Document Has Been Signed on 11/09/2021 04:25 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
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: 7DATE:
11/09/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Leslie RamirezTIME COMPLETED:
04:30 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
Licensing Program Analyst (LPAs) Cherie Acosta and Diana Campos conducted an unannounced case management inspection. Present when the LPAs arrived was the licensee, her two adult daughters, 5 preschool aged children and 2 infants in care.
During the course of a complaint investigation the following deficiencies were observed:

At approximately 10:00am LPAs observed the home to have a pool that is not properly fenced for the safety of children. Licensee stated that since her last annual visit they have installed a permanent seating area on the patio. When installing the seating area, a portion of the fence which secured the pool, was removed. Licensee failed to notify Community Care Licensing (CCL) of the changes. During the inspection LPAs observed gaps in the fence that made the pool accessible to children. The seating area which is less than 5 feet high is also being used as a barrier for the pool. The gate on the current fence does not open away from the pool and is not self latching. This is an immediate health and safety risk to children in care. Licensee was informed that she must discontinue caring for children at the close of business today, 11/9/21. Licensee may not care for children until the pool is properly enclosed with a 5 foot see through fence with a gate that is self latching and that opens away from the pool and an inspection is completed by CCL.

Licensee is currently using the converted garage as her main childcare area. The garage has not been cleared by the fire department to use for childcare. Licensee stated that she thought the garage was approved for child care. Licensee was informed that the garage must not be used for childcare without clearance from the fire department. Licensee does not have a permit from the City of Brentwood for the converted garage.

During complaint inspection on 10/27/21, LPA Chew observed the licensee's two adult daughters did not have fingerprint clearance. Both daughters now are fingerprint cleared and associated to the facility.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2021
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 4
Document Has Been Signed on 11/09/2021 04:25 PM - It Cannot Be Edited


Created By: Cherie Acosta On 11/09/2021 at 01:26 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: RAMIREZ, LESLIE
FACILITY NUMBER: 073408422

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/10/2021
Section Cited
CCR
102417(g)

1
2
3
4
5
6
7
Operation of a Family Child Care Home. The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: All licensees shall ensure the inaccessibility of pools
1
2
3
4
5
6
7
Licensee must cease caring for children at the close of business today, 11/9/21. Prior to caring for children licensee shall ensure the pool is properly fenced and inspected by CCL.
8
9
10
11
12
13
14
 (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence. This requirement was not met as evidenced by: LPA observed the pool was not properly fenced and was accessible to children which poses an immediate risk to the health and safety of children in care.
8
9
10
11
12
13
14
• This is a zero tolerance violation. An immediate $500 is assessed today and $100 per day will be assessed until corrected. Subsequent zero tolerance violations are $1000 immediate civil penalty and $100 per day will be assessed until corrected.
Type B
11/16/2021
Section Cited
CCR102416.3(a)(4)

1
2
3
4
5
6
7
Alterations to Existing Buildings or Grounds.Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following:
1
2
3
4
5
6
7
Licensee shall review the regulation and submit a letter to CCL ensuring she understands that she must notify CCL prior to making alterations or additions to the home.
8
9
10
11
12
13
14
Construction of exterior decks or porches. This requirement was not met as evidenced by: the licensee has installed a patio and permanent seating area in the backyard and failed to notify CCL
8
9
10
11
12
13
14
• Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Sherelle Johnson
LICENSING EVALUATOR NAME:Cherie Acosta
LICENSING EVALUATOR SIGNATURE:
DATE: 11/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/09/2021


LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: RAMIREZ, LESLIE
FACILITY NUMBER: 073408422
VISIT DATE: 11/09/2021
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
The attached type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in the child's file to be reviewed by licensing.

Exit interview was conducted with Leslie Ramirez
See 809-D for deficiencies sited during today's inspection.
$500.00 civil penalty is assessed today for zero tolerance violation.
Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4
Document Has Been Signed on 11/09/2021 04:25 PM - It Cannot Be Edited


Created By: Cherie Acosta On 11/09/2021 at 02:03 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: RAMIREZ, LESLIE
FACILITY NUMBER: 073408422

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/09/2021
Section Cited
CCR
102370(d)(1)

1
2
3
4
5
6
7
Criminal Record Clearance All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:
1
2
3
4
5
6
7
Licensee's daughter now have fingerprint cleared and are associated to the facility. The deficiency is cleared during today's inspection.
8
9
10
11
12
13
14
Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by: Licensee's two adult daughter that reside in the home were not fingerprint cleared during the inspection on 10/27/21.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Sherelle Johnson
LICENSING EVALUATOR NAME:Cherie Acosta
LICENSING EVALUATOR SIGNATURE:
DATE: 11/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/09/2021


LIC809 (FAS) - (06/04)
Page: 3 of 4