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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020241
Report Date: 08/03/2021
Date Signed: 08/03/2021 04:44:41 PM

Document Has Been Signed on 08/03/2021 04:44 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:RAMOS FAMILY CHILD CAREFACILITY NUMBER:
198020241
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
08/03/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Aida RamosTIME COMPLETED:
04:50 PM
NARRATIVE
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A Case Management Inspection was conducted by Licensing Program Analyst (LPA) Elka Chavez in Spanish. The purpose of this visit is to re-inspect the areas that the licensee wishes to use as additional day-care space. LPA was guided on a tour of the facility by Licensee Aida Ramos.

On May 25, 2021 Licensee was granted a fire clearance through LA County Fire Department for a large Family Child Care home; however, this clearance does not include the detached garage, which was observed being used by the day-care children on 6/17/21. During this inspection the Licensee has been informed that the detached garage is not approved for use by for the child care.

Areas used by children include: Main house, kitchen, bathroom in the bedroom hallway, living room and backyard (fenced).
Areas off limits include: Bedrooms, detached garage, laundry room, front yard (fenced) and backyard area located in the right side of the detached garage.

LPA observed child #2 fell asleep in a baby bouncer. LPA advised licensee infants should be moved to a crib or play yard as soon as possible. LPA did not observe an Infant Sleeping Plan LIC 9227 for child #2.

Citations issued during the 6/17/21 annual inspection have not been corrected. LPA will recommend the increase in capacity once the Licensee corrects the remaining citations.

Based on the LPA’s observation, the following corrections need to be corrected prior to obtaining a large family child care license. Corrections are due by 08/04/2021.

• Children's records for child #2
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/03/2021
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMOS FAMILY CHILD CARE
FACILITY NUMBER: 198020241
VISIT DATE: 08/03/2021
NARRATIVE
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• A current facility sketch for the main house

A large family child care license will be granted upon receipt of proof of corrections for the above. Once licensed, the applicant is required to comply with the terms and limitations stated on the license.

Exit interview was conducted with Aida Ramos, Licensee. The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/03/2021 04:44 PM - It Cannot Be Edited


Created By: Elka Chavez On 08/03/2021 at 04:16 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RAMOS FAMILY CHILD CARE
FACILITY NUMBER: 198020241

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/04/2021
Section Cited
CCR
102421

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Child's Records
..This requirement was not met as evidenced by:
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Licensee stated that she will provide the child's parent with admission packet. Licensee stated she will ensure that childrens packet are completed prior to admission to day care.
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LPA observed did not observe child's file for child #2. This poses a potential health and safety risk to children in care.
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Type B
08/03/2021
Section Cited
CCR102425(i)

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 102425 INFANT SAFE SLEEPINFANT SAFE SLEE(i) If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible.
This requirement was not met as evidenced by
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Licensee stated that she is going to get rid of the baby bouncer.
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LPA did not observed child #2 had fallen asleep in a baby bouncer. This poses a potential health and safety risk to children in care.
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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.
SUPERVISOR'S NAME:Karen Chambers
LICENSING EVALUATOR NAME:Elka Chavez
LICENSING EVALUATOR SIGNATURE:
DATE: 08/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/03/2021


LIC809 (FAS) - (06/04)
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