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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334819141
Report Date: 02/01/2024
Date Signed: 02/01/2024 02:45:17 PM

Document Has Been Signed on 02/01/2024 02:45 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:RAMIREZ-RUIZ FAMILY CHILD CAREFACILITY NUMBER:
334819141
ADMINISTRATOR:RAMIREZ-RUIZ, NUBIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 795-9646
CITY:CALIMESASTATE: CAZIP CODE:
92320
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
02/01/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:09 PM
MET WITH:Licensee Nubia Ramirez-RuizTIME COMPLETED:
03:00 PM
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On the date and time listed, Licensing Program Analyst (LPA) Perla Ordones arrived at the facility to conduct an inspection regarding a separate matter.

During the course of recording the census, LPA observed that 5 children were sleeping in play yards with loose articles such as blankets and bottles inside. LPA advised Licensee on Infant Safe Sleep Regulations and Licensee removed items from play yards during this visit. Additionally, LPA observed one infant sitting in a high chair for approximately several minutes without eating. LPA asked Licensee if the infant was going to eat soon which Licensee responded no. LPA asked Licensee to removed infant from high chair to which Licensee complied.

During record review, LPA observed that two children were missing files and required documents such as the LIC700, LIC282, LIC9150, Immunizations, LIC627, and LIC995A. Licensee explained that one authorized representative had yet to submit the paperwork while another authorized representative did submit the paperwork but the Licensee accidentally deleted the submission. LPA informed Licensee of Child's Records Regulations and Licensee stated they would obtain the required paperwork from authorized representatives. Additionally, LPA observed that Licensee did not have an up to date roster on file. Licensee made an up to date roster during this visit.

LPA Perla Ordones informed licensee Licensee Nubia Ramirez-Ruiz that this report dated 02/01/2024 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2024
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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: RAMIREZ-RUIZ FAMILY CHILD CARE
FACILITY NUMBER: 334819141
VISIT DATE: 02/01/2024
NARRATIVE
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Also, LPA Perla Ordones informed the Licensee Nubia Ramirez-Ruiz to provide a copy of this licensing report dated 02/01/2024 that documents any Type A citation(s) 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.

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

During the exit interview, the Licensee Nubia Ramirez-Ruiz, 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 with the Licensee Nubia Ramirez-Ruiz.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 02/01/2024 02:45 PM - It Cannot Be Edited


Created By: Perla Ordones On 02/01/2024 at 01:55 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RAMIREZ-RUIZ FAMILY CHILD CARE
FACILITY NUMBER: 334819141

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/02/2024
Section Cited
CCR
102423(a)(2)

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(a) Each child... shall have certain rights that shall not be waived or abridged by the licensee... To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidenced by:
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Licensee agrees to submit a statement of agreement to ensure proper usage of high chairs and agrees to send proof of the Plan of Correction (POC) to Community Care Licensing (CCL) by the end of the business day on the POC due date of 02/02/2024.
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Based on observation and interview, the licensee did not comply with the section cited above as LPA observed one infant sitting in a high chair for approximately several minutes without eating which poses an immediate health, safety or personal rights risk to persons 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:Kimberly Williams
LICENSING EVALUATOR NAME:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2024


LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 02/01/2024 02:45 PM - It Cannot Be Edited


Created By: Perla Ordones On 02/01/2024 at 02:00 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RAMIREZ-RUIZ FAMILY CHILD CARE
FACILITY NUMBER: 334819141

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/08/2024
Section Cited
CCR
102425(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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Licensee agrees to read the Infant Safe Sleep Regulations and agrees to submit a written plan of action on how Licensee will ensure compliance.
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Based on observation, the licensee did not comply with the section cited above as LPA observed that 5 children were sleeping in play yards with loose articles such as blankets and bottles inside, which posed a potential health, safety or personal rights risk to persons in care.
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Licensee agrees to send proof of the Plan of Correction (POC) to Community Care Licensing (CCL) by the end of the business day on the POC due date of 02/08/2024.
Type B
02/08/2024
Section Cited
CCR102421(b)

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(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7).

This requirement is not met as evidenced by:
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Licensee agrees to have C1 and C2's authorized representatives submit the required documents for the children's files and agrees to send proof of the Plan of Correction (POC) to Community Care Licensing (CCL) by the end of the business day on the POC due date of 02/08/2024.
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Based on interview and record review, the licensee did not comply with the section cited above as LPA observed that two children were missing files and required documents, which posed a potential health, safety or personal rights risk to persons 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:Kimberly Williams
LICENSING EVALUATOR NAME:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2024


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 02/01/2024 02:45 PM - It Cannot Be Edited


Created By: Perla Ordones On 02/01/2024 at 02:08 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RAMIREZ-RUIZ FAMILY CHILD CARE
FACILITY NUMBER: 334819141

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/08/2024
Section Cited
CCR
102417(g)(8)

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(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

This requirement is not met as evidenced by:
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Licensee agrees to submit a written plan of action on how Licensee will ensure compliance and agrees to send proof of the Plan of Correction (POC) to Community Care Licensing (CCL) by the end of the business day on the POC due date of 02/08/2024.
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Based on interview and record review, the licensee did not comply with the section cited above as LPA observed that Licensee did not have an up to date roster on file, which posed a potential health, safety or personal rights risk to persons in care.
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Licensee updated roster during this visit.

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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:Kimberly Williams
LICENSING EVALUATOR NAME:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2024


LIC809 (FAS) - (06/04)
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