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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409379
Report Date: 03/01/2023
Date Signed: 03/01/2023 03:54:18 PM

Document Has Been Signed on 03/01/2023 03:54 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:MELGAR RAMIREZ, BEATRIZFACILITY NUMBER:
073409379
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/01/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:39 PM
MET WITH:Beatriz Melgar RamirezTIME COMPLETED:
04:08 PM
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On Wednesday, March 1, 2023 at 1:39 PM, Licensing Program Analyst (LPA) Caroline Colson met with Beatriz Melgar Ramirez and her cousin, Betsy Mendez came to help with Spanish Interpretation for an announced prelicensing and technical assistance inspection. There are no day care children present. The home was toured to conduct a health and safety inspection. All required forms were reviewed and provided to the applicant. Operating Hours are Mondays - Fridays 7:00 AM - 5:00 PM

Indoor Space: The home is a two story home. The home consist of a living room, dinning area, kitchen, one downstairs bedroom, one bathroom, laundry room, attic, fenced front yard, fenced back yard and driveway. There is a 2A10BC fire extinguisher, working smoke detector and working carbon monoxide detector. Ms. Ramirez states that there are no firearms in the home. There are toys and play equipment available for the children. Her CPR and First Aid certificates are current and expire on May 15, 2023. Mandated Reporter Training for Child Care Providers expire on February 3, 2024. There is a First Aid Kit available. The isolation area will be the living room. There are no pets.
Outdoor Space: The fenced front yard is the outdoor play space.

Off Limit Areas: The entire second floor is an attic.


Please See LIC 809 C for Additional Information
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/01/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: MELGAR RAMIREZ, BEATRIZ
FACILITY NUMBER: 073409379
VISIT DATE: 03/01/2023
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The following items need to be corrected by March 31, 2023:
1. Applicant will need to purchase a heating source that can heat the home and properly screen the heater.
2. Applicant needs to remove the gate in the kitchen to ensure children have access to the bathroom.
3. Applicant will need to complete the General Training for the Mandated Reporter Training.
4. Applicant needs to complete the LIC 9151, Property Owner/Landlord Notification.
5. Applicant will need to fix the gate to the fenced front yard and level the area near the gate.
6. Two lower kitchen cabinets will need to be made inaccessible to children.
7. Applicant will follow-up to see if she has permission to use her two temporary locations.

REMINDERS/RESOURCES

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov



· Licensees may register to receive child care updates: www.myccl.ca.gov

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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 ADA, available at: http://www.ada.gov/childquanda.htm


Please See LIC 809 C for Additional Information
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023
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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: MELGAR RAMIREZ, BEATRIZ
FACILITY NUMBER: 073409379
VISIT DATE: 03/01/2023
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Family Child Care Homes

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Safe Sleep

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee, Beatriz Melgar Ramirez, of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Notice of Site Visit

A notice of site visit was given and must remain posted for 30 days.

Exit Interview

Exit interview conducted and report was reviewed with the applicant, Beatriz Melgar Ramirez.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023
LIC809 (FAS) - (06/04)
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