274409942-10-9-2024-07-CC-FCJO-D9VPYJ-20241009114400

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274409942
Report Date: 10/09/2024
Date Signed: 10/09/2024 11:44:12 AM

Document Has Been Signed on 10/09/2024 11:44 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	ANAYA, RAMONA		FACILITY NUMBER:	274409942
ADMINISTRATOR:	ANAYA, RAMONA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 633-2499
CITY:	CASTROVILLE	STATE: CA	ZIP CODE:	95012
CAPACITY:	14	CENSUS: 7	DATE:	10/09/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Ramona Anaya		TIME COMPLETED:	11:50 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 (LPA) Fermin Campos-Jaramillo conducted an unannounced annual inspection to the home today. LPA met with Ramona Anaya, Licensee, and explained the nature of today's inspection to her. LPA observed there were seven children present today, included one infant and six preschoolers. Licensee's daughter Adriana was helping with the care and supervision. Days and hours of operation are Monday to Friday from 6:00 AM to 6:00 PM The adults that reside in the home are the Licensee, her daughter and helper Adriana and Licensee's spouse Manuel. Licensee's certifications for CPR and First Aid are current and will expire on 1/24/26 for licensee and 6/27/25 for helper Adriana. LPA toured the indoor and outdoor areas of the home during today's visit. The Licensee has a working telephone in the home. LPA reviewed five children's files and they are complete including the parent's rights form and the immunization records form. Licensee has documented a fire drill on 9/18/24. LPA obtained a copy of the children's roster. LPA observed sufficient materials, toys, and play equipment for the day care children. The home is clean, orderly, and ready for the day care children. LPA did not observe any wall heaters inside the home. Off limit areas in the home are the master bedroom, two more bedrooms, one bathroom and the attached garage. There are no stairs in the home. Off limit areas outside the home are the right side yard and the storage shed in the back yard. LPA observed a dog in the home, Licensee stated it is vaccinated and kept outside. LPA observed a fully charged 3A40BC fire extinguisher last serviced on 3/20/24 working smoke and carbon monoxide detectors, and no bodies of water. The Licensee states that she does not have any weapons in the home. All detergents, cleaning compounds, medications, and other similar items are stored inaccessible to children. Licensee has proof of immunization for pertussis, measles, and influenza in file as required by the SB792. ************************Report dated 10/09/24 continues in page 2.

SUPERVISOR'S NAME: Susy Cervantes	TELEPHONE: (408) -32-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024

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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ANAYA, RAMONA	FACILITY NUMBER: 274409942
	VISIT DATE: 10/09/2024

NARRATIVE

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Report dated 10/09/24 continues from page 1.

Supervision of children was discussed with the Licensee and she understands that she must be present in the home during day care hours and ensure that the children are supervised at all times. The Licensee understands her capacity options and she understands that she cannot have more than 14 children in care in the home, a helper must be present when there are more than 8 children in care, and ratio (age of the children) must be observed. Licensee understands in absence of a helper her license capacity is automatically reduced to 8 children and ratio must be observed as well. Licensee states that she does not transport children via vehicle and she understands that children cannot be left in parked vehicles unattended at any time.

Department website: www.ccld.ca.gov provided to Licensee.
LPA observed Licensee and her helper Adriana have renewed the "mandated reporter" training on 11/14/22 and 5/15/23 respectively. Training is mandatory to all Licensees and adults in the home in contact will children. Licensee understands the training shall be renewed every two years. LPA referred the Licensee to the training website: www.mandatedreporterca.com for additional information on the online training.

A review of staff records on 9/10/24 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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.

***********************Report dated 10/9/24 continues on page 3.

SUPERVISOR'S NAME: Susy Cervantes	TELEPHONE: (408) -32-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ANAYA, RAMONA	FACILITY NUMBER: 274409942
	VISIT DATE: 10/09/2024

NARRATIVE

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******************Report dated 10/9/24 continues from page 2.
LPA also informed licensee 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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 the ADA, available at: http://www.ada.gov/childqanda.htm

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE Ramona Anaya confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Exit interview conducted and report was reviewed in Spanish with the licensee Ramona Anaya.

No deficiencies were cited today.

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

SUPERVISOR'S NAME: Susy Cervantes	TELEPHONE: (408) -32-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024

LIC809 (FAS) - (06/04)

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