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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274415989
Report Date: 10/10/2024
Date Signed: 10/10/2024 03:36:39 PM

Document Has Been Signed on 10/10/2024 03:36 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:RAMIREZ PEREZ, CARLOSFACILITY NUMBER:
274415989
ADMINISTRATOR/
DIRECTOR:		CARLOS RAMIREZ PEREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 214-4846
CITY:SALINASSTATE: CAZIP CODE:
93907
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
10/10/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:05 PM
MET WITH:Carlos Ramirez PerezTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with licensee Carlos Ramirez Perez for a Plan of Correction (POC) inspection. LPA explained the reason for the visit to licensee Carlos. Licensee was providing care to four preschool children today, and two school age arrived later with helper Margarita Narez.. Licensee stated that earlier today there were 8 children in care. Licensee's helper Julian was also present. Licensee is operating today in compliance with ratio and capacity of his license.

LPA has previously conducted an annual inspection to the home on 10/02/24 and licensee was cited with one type A deficiency for having as a helper a clear adult who was not associated to the Family Child Care Home's roster.

Licensee has completed the requirements of the AB633 and has in file signed forms LIC9224 for all the current children's parents according with the plan of corrections.

Deficiencies cited on 10/02/24 is thus cleared.

No additional deficiencies were cited.

Notice of site inspection was given to licensee and must be posted by the FCCH entrance for the following 30 days.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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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