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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012761
Report Date: 05/20/2026
Date Signed: 05/20/2026 04:57:25 PM

Document Has Been Signed on 05/20/2026 04:57 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
198012761
ADMINISTRATOR/
DIRECTOR:		RAMIREZ, MARIA REMEDIOSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 575-1156
CITY:EL MONTESTATE: CAZIP CODE:
91731
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
05/20/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Maria RamirezTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 05/20/26 at 01:00 p.m. The purpose of this inspection is to follow up on an incident that was not reported to the Department within 24 hours. At 01:07 p.m., LPA met with licensee Maria Ramirez and census was taken. Present during the inspection were licensee’s assistant’s S2 and S3.

During this inspection, LPA interviewed Staff 1 (S1) thru 3 and attempted to interview child 1 (C1) thru 2. LPA obtained a copy of C1s ouch report.

On 04/24/26, a child (not identified) pushed C1 who then fell and hit their right side of the head on the furniture and a cut was observed.

According to S1 they were indoors preparing the children’s lunch while S2 and S3 were outdoors with the children. S1 recalls that S3 and C1 walked into the kitchen and observed that S3 had blood on their hand. S1 asked what happened and S3 replied that C2 pushed C1 and the child hit his head on the corner of the outdoor furniture. S1 stated that they immediately provided first aid by cleaning the area and applying ice. After applying ice to C1 head they called the child’s grandmother for pick up. C1 was later picked up by a family member. According to S1, C1 did not return to the facility the next day and followed up with the child’s parent/authorize representative. S1 was informed that the child was taken to the hospital where he received two or three stitches; however, S1 couldn’t recall. Per S1, C1 returned to the facility until after two days and their parent/authorized representative did not provide a doctor’s note therefore it is unknown if the child had any restrictions upon their return.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 05/20/2026 04:57 PM - It Cannot Be Edited


Created By: Veronica Martinez-Garza On 05/20/2026 at 03:03 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 198012761

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/20/2026
Section Cited
CCR
102416(b)(1)

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(b) The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home. (1) Medical treatment means treatment by a medical professional, as defined in Section 101152(m).

This requirement is not met as evidenced by:
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Per licensee, she understands that unsusual incident reports must be reported within 24 hours and made several attempts on 04/24. Per licensee, she also has the email address to submit written reports as an alternative method of reporting to the department.
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According to the licensee, she attempted to contact the Monterey Park Regional Office several times to report the unusual incident report that occurred on 04/24/26; however, no one answered the phone. Licensee then contacted their previous analyst who assisted the licensee in submitting the unusual incident report on 05/07/26 via email.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Ana Chico
NAME OF LICENSING PROGRAM MANAGER:
Veronica Martinez-Garza
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/20/2026


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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 198012761
VISIT DATE: 05/20/2026
NARRATIVE
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Interviews conducted with S2 revealed that they were outdoors for outdoor play with S3. Per S2, children were cleaning up and also lining up getting ready to come into the home to have lunch. S2 stated that they saw C1 crying and S3 ran towards the child. Blood was then observed coming from the back of C1 head and S2 told S3 to take the child indoors so that S1 could provide first aid. According to S2, C2 was asked what happened but the child didn’t reply but alluded that the child pushed C1. Later on, C1 revealed that C2 pushed him; however, it wasn’t intentional and it was an accident.

Interviews conduced with S3 revealed and corroborated that they were outdoors for outdoor play with S2 and children were cleaning up and getting ready to line up and come indoors for lunch. According to S3, they were towards the back of the yard facing the front supervising children putting toys away and when they turned to supervise other children they turned back and observed C1 crying. S3 believes that C1 tried to take C2s spot while in line and pushed the child which caused the child to fall on the furniture. Per S3, C2 was asked what happened but the child remained quiet; however, later on the child said they pushed C1 and apologized. S3 does not think C2 intentionally pushed C1 to cause any harm. Staff interviewed corroborated that it is unknown if C1 had any restrictions upon their return since the child’s parent/authorized representative did not provide a doctor’s note. According to the staff interviewed, C1 was monitored upon their return and modified the child’s activities as a safety precaution.

LPA attempted to interview C1; however, child did not speak with LPA. LPA interviewed C2 who stated that C1 tripped with a blue basket and hit their head on the furniture and denied pushing C1. C2 also stated that S2 was present when the incident occurred.

LPA observed that the area where the incident occurred is age-appropriate and all materials and equipment are in good condition. The furniture where C1 hit their head does not have any sharp edges. LPA recommends that staff should ensure that all children clean up to prevent children from rushing, pushing, or running to line up. LPA provided a technical violation.

LPA discussed with the licensee that unusual incident reports must be reported to the department within 24 hours. The incident occurred on 04/24/26 and was reported to the department on 05/07/26. According to the licensee, she made several attempts to notify the department within 24 hours; however, no one answered the phone. Licensee then called a resource and referral agency for guidance and told her to contact their previous analyst for assistance. Licensee was given a technical violation on 06/08/23 for reporting requirements.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 198012761
VISIT DATE: 05/20/2026
NARRATIVE
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The following deficiencies were cited in accordance with Title 22 of the California Code of Regulations and Health & Safety Codes. Please see 809D for documentation of deficiencies.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative, a civil penalty of $100 can be assessed.

An exit interview was conducted, and a copy of this report was provided to licensee Maria Ramirez.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
LIC809 (FAS) - (06/04)
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