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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009466
Report Date: 06/19/2026
Date Signed: 06/19/2026 04:07:07 PM

Document Has Been Signed on 06/19/2026 04:07 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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:DI RAMOS, RASSEL FCCHFACILITY NUMBER:
283009466
ADMINISTRATOR/
DIRECTOR:		DI RAMOS, RASSELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 278-6786
CITY:AMERICAN CANYONSTATE: CAZIP CODE:
94503
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
06/19/2026
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Ruby Viado and Ernesto PeraltaTIME VISIT/
INSPECTION COMPLETED:
04:20 PM
NARRATIVE
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On 6/19/26, Licensing Program Analyst (LPA), Dianne Allee arrived at the facility for the purpose of conducting an unannounced visit for plan of corrections and met with Assistant Ruby Viado (S1). S1 stated Licensee was out of the country and unavailable.

On 6/2/26, during an unannounced annual inspection, the following citations were given to the Licensee:

1. Type A - CCR 102391(b), LPA was denied right to enter home. This was corrected on 6/2/26.

2. Type A - CCR 102416.5(e), while LS was away from the facility, S1 was left with six infants and 2 preschool aged children. This was corrected on 6/2/26.

3. Type B - CCR 102425(a)(3), all cribs were observed to be without sheets. This was corrected on 6/15/26.

4. Type B - CCR 102425(a)(4), three of five cribs were being used without mattresses. LS agreed to write a statement on the importance of allowing children comfortable accommodations while in care. LS, S1, and S2 were to sign and date that training was conducted. This has not been corrected by the due date of 6/18/26.

5. Type B - CCR 102425(b), LPA observed one infant asleep wrapped in a blanket along with a stuffed animal and a bottle. The LS agreed to correct this by training all staff and herself on infant sleep regulations. LS, S1, and S2 were to sign and date a statement acknowledging that they understood infant safe sleep regulations. This has not been corrected by the due date of 6/18/26.

6. Type B - CCR 102425(b)(3), LPA observed three of five mattresses for the cribs were hanging over the side of the crib. LS agree to correct this by reading and discussing infant safe sleep regulations. LS, S1, and S2 were to sign and date acknowledgement of this training. This has not been corrected by the due date of 6/18/26.

Continued on LIC809-C

NAME OF LICENSING PROGRAM MANAGER: Melinda Mohr
NAME OF LICENSING PROGRAM ANALYST: Dianne Allee
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 8
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 06/19/2026 04:07 PM - It Cannot Be Edited


Created By: Dianne Allee On 06/19/2026 at 01:28 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
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: DI RAMOS, RASSEL FCCH
FACILITY NUMBER: 283009466

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/19/2026
Section Cited
CCR
102416.5(e)

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(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
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LS, S1, and S2 will EACH read the regulations and EACH write a summary of how many children can be present with one staff member.
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Based on LPA observation and interview with S1, the licensee did not comply with the section above in that S1 was left alone with four infants and two children.
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This will be emailed to LPA at dianne.allee@dss.ca.gov within 24 hours.

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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.
Melinda Mohr
NAME OF LICENSING PROGRAM MANAGER:
Dianne Allee
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/19/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/19/2026 04:07 PM - It Cannot Be Edited


Created By: Dianne Allee On 06/19/2026 at 01:38 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
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: DI RAMOS, RASSEL FCCH
FACILITY NUMBER: 283009466

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/13/2026
Section Cited
CCR
102417(a)

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(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
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LS will read this regulation and write a summary, in her own words, what the regulation means. LS will include in the summary a plan or policy that will be in place as to what LS will do during times she must leave for more than 20% of her operating hours.
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Based on LPA observation and interview with S1 and S2, LS will be away from the facility for more than 20% of the operating hours. Facility did not comply with the section cited above. This poses a potential health, safety, or personal rights risk to the children in care.
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This plan should be signed by each assistant and placed in each of their files. This will be emailed to LPA: Dianne.Allee@dss.ca.gov
Type B
07/13/2026
Section Cited
CCR102423(a)(2)

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(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: ...(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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S2 will write a letter stating why arguments, yelling, and raising voices in front of or towards the children in care is not coducive of safe,
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Based on observation, S2 did not comply with the section cited above by raising their voice and argueing with LPA in the presence of the children in care. This is a potential health, safety, or personal rights risk to the children in care.
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healthful, and comfortable accommodations for the children. This statement will be emailed to LPA: dianne.allee@dss.ca.gov
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Melinda Mohr
NAME OF LICENSING PROGRAM MANAGER:
Dianne Allee
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/19/2026


LIC809 (FAS) - (06/04)
Page: 4 of 8
Document Has Been Signed on 06/19/2026 04:07 PM - It Cannot Be Edited


Created By: Dianne Allee On 06/19/2026 at 02:27 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
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: DI RAMOS, RASSEL FCCH
FACILITY NUMBER: 283009466

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/13/2026
Section Cited
CCR
102425(a)(4)

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(a)There shall be one crib or play yard for each infant who is unable to climb out tof the crib or play yard. (4)Mattresses shall be made specifically for the size crib or play yard in which they are placed. This requirement is not met as evidenced by:
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Facility will provide training about the importance of allowing children to lay on the mattress while utilizing the crib. This should be documented by a short statement by LS, S1, and S2 acknowledging they understand. LS, S1, and S2 will sign and date their acknowledment of training.
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On 6/2/24, LPA observed three of five port-a-cribs being used withot a mattress. LS was given a POC of writing a statement on the importance of allowing children to lay on a mattress while using cribs. LS, S1, and S2 were all to sign and date this statement. This POC was not completed by the due date.
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This will be emailed to LPA: dianne.allee@dss.ca.gov
Type B
07/13/2026
Section Cited
CCR102425(b)

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(b)Cribs or play yards shall be free from all loose articles and objects.
This requirement is not met as evidenced by:
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LS will write a statement on the proper practice of infant safe sleep, including not allowing infants to sleep with blankets, toys, or bottles in the crib. LS will also conduct a training for all staff to allow them to read and discuss infant safe sleep regulations. LS, S1, and S2 will sign and date an acknowledgement that they have been trained and understand.
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Based on observation, the licensee did not comply with the ection cited above. On 6/2/26, LPA observed one infant asleep in a port-a-crib wrapped in a blanket and with a stuffed animal and a bottle in the crib. LPA observed three infants with bottles and toys in their crib.
POC was not completed by the due date.
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This will be emailed to LPA: dianne.allee@dss.ca.gov
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Melinda Mohr
NAME OF LICENSING PROGRAM MANAGER:
Dianne Allee
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/19/2026


LIC809 (FAS) - (06/04)
Page: 5 of 8
Document Has Been Signed on 06/19/2026 04:07 PM - It Cannot Be Edited


Created By: Dianne Allee On 06/19/2026 at 02:56 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
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: DI RAMOS, RASSEL FCCH
FACILITY NUMBER: 283009466

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/06/2026
Section Cited
CCR
102425(b)(3)

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(b)Cribs or play yards shall be free from loose articles and objects. (3)There shall be no objects hanging above or attached to the side of the crib.
This requirement was not met as evidenced by:
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LS should conduct a training for all staff to allow them to read and discuss infant safe sleep regulations. This training will also have an acknowledgment page signed by LS, S1, and S2 stating they each understand and have been trained.
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Based on observation, the LS did not comply with the section cited above. On 6/2/26,LPA observed three of five mattresses for cribs hanging over the side of the crib while children were in the crib. POC was not completed by the due date.
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This shall be emailed to LPA: dianne.allee@dss.ca.gov
Type B
07/06/2026
Section Cited
HSC1597.622(c)

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(c)Family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.
This requirement is not met as evidenced by:
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S1 will provide proof of immunity to measles and a negative TB within the last year. This will be sent to LPA: Dianne.Allee@dss.ca.gov
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Based on record review, S1 did not provide proof of immunity to measles, pertussis, and a negative TB. This was partially corrected by providing proof of pertussis immunity.
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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.
Melinda Mohr
NAME OF LICENSING PROGRAM MANAGER:
Dianne Allee
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/19/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/19/2026 04:07 PM - It Cannot Be Edited


Created By: Dianne Allee On 06/19/2026 at 03:10 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
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: DI RAMOS, RASSEL FCCH
FACILITY NUMBER: 283009466

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/06/2024
Section Cited
CCR
102423(a)(4)

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(a)Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representatitve. These rights include, but are not limmited to, the following: ...(4)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with...aids to physical functioning.
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Facility will provide training to all staff about never utilizing cribs as a sort of restraint for any reason.the training.
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LPA observed two of five children who were utilizing the cribs climb out of the crib. LS stated they put them in the cribs to help keep control of them. LS agreed to provide training to all staff about never utilizing cribs as a sort of restraint for any reason. LS, S1, and S2 will sign and date acknowledgement of the training. This has not been corrected by the due date.
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 LS, S1, and S2 will sign and date acknowledgement of receiving and understanding the training. This will be sent to LPA: dianne.allee@dss.ca.gov

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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.
Melinda Mohr
NAME OF LICENSING PROGRAM MANAGER:
Dianne Allee
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/19/2026


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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: DI RAMOS, RASSEL FCCH
FACILITY NUMBER: 283009466
VISIT DATE: 06/19/2026
NARRATIVE
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7. Type B - HSC 1596.8662(c), LS, S1, and S2 were unable to provide current Mandated Reporter Training Certificates. LS agreed to have each of them complete required mandated reporter training. This was corrected on 6/15/26.

8. Type B - HSC 1597.622(c), one of three staff did not have proof of immunizations and Negative TB. This was partially corrected on 6/15/26. LS has not provided proof of one immunization and a negative TB for the staff.

9.Type B - HSC 1597.622(a)(1), One of three staff did not have proof of influenza vaccine. This was corrected on 6/15/26.

10. Type B - CCR 102423(a)(4), LPA observed two of five children who were utilizing the cribs climb out of the crib. LS stated they put them in the cribs to help keep control of them. LS agreed to provide training to all staff about never utilizing cribs as a sort of restraint for any reason. LS, S1, and S2 will sign and date acknowledgement of the training. This has not been corrected by the due date of 6/18/26.

In addition, upon arrival at approximately 10:15 am LPA observed 4 infants, 1 toddler and 1 school age child in care being supervised by S1. S1 stated the Licensee was out of the country and would be returning in 5 days. S1 further stated she was the only one supervising the children as the Licensee’s husband (S2) was not home but would be returning shortly. The facility was operating out of ratio during this time. At approximately 10:42am S2 arrived at the facility and stated Licensee, Rassel Di Ramos (L1) had an emergency which is what caused her to be away from the facility today. S2 became argumentative with LPA and started to raise his voice as he was speaking, in front of the children in care. LPA observed the children to become quiet during the confrontation. S2 walked out of the facility for approximately 10 minutes, causing the facility to be out of ratio further.

The following violations of the California Code of Regulations, Title 22; Division 12: see LIC 809D. Licensee is also being cited civil penalties totaling $ 750; five civil penalties of $100 each for failure to correct and one civil penalty of $250 for repeat violations within a 12-month period. Appeal rights provided.

LPA Allee informed Assistants that this report dated 06/19/2026 documents one Type A citation. Type A citations shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

LPA Allee informed Assistants to provide a copy of this licensing report dated 06/19/2026 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

NAME OF LICENSING PROGRAM MANAGER: Melinda Mohr
NAME OF LICENSING PROGRAM ANALYST: Dianne Allee
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
LIC809 (FAS) - (06/04)
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