<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376601494
Report Date: 10/21/2024
Date Signed: 10/21/2024 02:50:31 PM

Document Has Been Signed on 10/21/2024 02:50 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 DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:RUIZ, ANA LAURA FAMILY CHILD CAREFACILITY NUMBER:
376601494
ADMINISTRATOR/
DIRECTOR:		RUIZ, ANA LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 690-0480
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
10/21/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Licensee Ana Laura RuizTIME VISIT/
INSPECTION COMPLETED:
03:20 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
On 10/21/2024 at 1:40 pm, Licensing Program Analysts (LPAs) Michelle Hood and Shannan Williams made an unannounced case management inspection. The purpose of the inspection is to issue additional citations discovered while investigating a complaint received on 09/10/2024. There were two children with the licensee and one helper present.

On 09/19/2024, during a complaint inspection, LPAs reviewed the facility roster which was not completed or current with the daycare children enrolled at the facility. During an interview, it was disclosed the licensee allowed a daycare infant to use a baby walker while in care. The LPAs reviewed pictures and video of the infant in the baby walker while in the family child care home. The Licensee did not have personnel files for at least two staff. The licensee admitted to not maintaining the personnel records which includes: mandated reporter certification and First aid/CPR training for two staff that transported children to and from school. The Licensee did not obtain criminal record clearance or exemption for two staff prior to allowing them to work in the facility. Based on interviews and review of a photograph, it was determined the licensee violated the safe sleep regulation by allowing a blanket in the crib or play yard while an infant is napping. The licensee did not maintain a completed Individual Infant Sleeping Plan (LIC 9227) for at least one infant in care. Based on interviews, Licensee admittance, and LPAs observation, the LIcensee allowed children and at least one infant to nap on the couch.

LPAs Hood and Williams informed licensee Ana Laura Ruiz that this report dated 10/21/2024 documents three (3) Type A citations which shall be posted for 30 consecutive days as there is/are immediate risks to the health, safety, or personal rights of children in care.

SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Shannan Williams
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2024
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 7
Document Has Been Signed on 12/09/2024 12:25 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 11/22/2024 03:42 PM


Created By: Shannan Williams On 10/11/2024 at 11:35 AM
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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: RUIZ, ANA LAURA FAMILY CHILD CARE
FACILITY NUMBER: 376601494

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/18/2024
Section Cited
CCR
102416(c)

1
2
3
4
5
6
7
102416(c) Personnel Requirements
The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement was not met by:
1
2
3
4
5
6
7
The Licensee stated she will ensure all helpers transporting children or caring for the children alone will have a current CPR/First aide card. The licensee will provide a written declaration to LPA Williams no later than 10/22/2024.
8
9
10
11
12
13
14
Based on the licensee statement, the helpers do not have files at the facility for the LPAs to review. The licensee stated the helpers do not have CPR/First Aid. This is an immediate health and safety risk to children in care.
8
9
10
11
12
13
14
Type A
10/18/2024
Section Cited
CCR102425(b)

1
2
3
4
5
6
7
102425(b) Infant Safe Sleep-Cribs or play yards shall be free from all loose articles and objects. This requirement was not met by:
1
2
3
4
5
6
7
The Licensee stated she will remove all loose items from the playpen before infants are placed n the facility. The licensee will provide a written declaration to LPA Williams no later than 10/22/2024.
8
9
10
11
12
13
14
Based on interviews and a photo, Loose items including a blanket were placed in a portable crib with a child on at least one occassion. This in an immediate health and safety risk to children in care.
8
9
10
11
12
13
14
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:Cynthia Biszant
LICENSING EVALUATOR NAME:Shannan Williams
LICENSING EVALUATOR SIGNATURE:
DATE: 12/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/09/2024


LIC809 (FAS) - (06/04)
Page: 4 of 7
Document Has Been Signed on 12/09/2024 12:22 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 11/01/2024 05:24 PM


Created By: Shannan Williams On 10/11/2024 at 11:43 AM
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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: RUIZ, ANA LAURA FAMILY CHILD CARE
FACILITY NUMBER: 376601494

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/18/2024
Section Cited
CCR
102417(g)(10)

1
2
3
4
5
6
7
102417(g)(10) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Section 1596.846(b) and (c). This requirement was not met by:
1
2
3
4
5
6
7
The Licensee stated the walker is not used at the facility and is in the garage. The licensee stated the walker will be given back to the parent.
8
9
10
11
12
13
14
Based on interview of and review of pictures and video, the licensee allowed a child to use a baby walker while in care. This is a potential health & safety risk to children in care.
8
9
10
11
12
13
14
Type B
10/18/2024
Section Cited
HSC1596.8662(b)(1)

1
2
3
4
5
6
7
**This is an amended report originally created on 10/21/2024**
1596. 8662(b)(1) Mandated Reporter TrainingAvailability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care… employee of a licensed child day care facility; proof of completion This requirement was not met by:
1
2
3
4
5
6
7
The Licensee stated she will ensure helpers will have completed the mandated reporter training prior to being present in the facility. The licensee stated her one helper will complete the mandated reporter trainig no later than 10/25/2024. The licensee will provide the certificate to LPA Williams no
8
9
10
11
12
13
14
Based on the licensee's admittance three helpers did not complete or provide a copy of the completion of Mandated reporter training prior to initial presence at the facility to help with the children in care. No staff files were available for review. This is a potential health & safety risk to children in care.
8
9
10
11
12
13
14
later than 10/25/2024. www.mandatedreporterca.com
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:Cynthia Gray
LICENSING EVALUATOR NAME:Shannan Williams
LICENSING EVALUATOR SIGNATURE:
DATE: 12/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/09/2024


LIC809 (FAS) - (06/04)
Page: 2 of 7
Document Has Been Signed on 10/21/2024 02:50 PM - It Cannot Be Edited


Created By: Shannan Williams On 10/11/2024 at 11:53 AM
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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: RUIZ, ANA LAURA FAMILY CHILD CARE
FACILITY NUMBER: 376601494

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/18/2024
Section Cited
CCR
102425(c)

1
2
3
4
5
6
7
102425(c) Infant Safe Sleep - An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
The Licensee stated she will provide the LIC 9227 to parents at the time of enrollment. The licensee will ensure the LIC 9227 is completed and returned. The licensee will provide a written declaration to LPA Williams no later than 10/22/2024.
8
9
10
11
12
13
14
Based on LPA record review, Licensee admittance and interviews, several infants in care did not have an LIC 9227 on file with the Licensee. This is a potential health and safety risk to children in care.
8
9
10
11
12
13
14
Type B
10/18/2024
Section Cited
CCR102417(g)(8)

1
2
3
4
5
6
7
102417(g)(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 was not met as evidenced by:
Based on record review the Licensee did not maintain a current roster.
1
2
3
4
5
6
7
The Licensee stated she understands all children enrolled must be entered on the roster. The licensee provided the LPAs a copy of the current roster.
8
9
10
11
12
13
14
 Licensee was unable to provide a roster when requested. LPAs observed Licensee create a roster during the inspection. LPAs later observed an outdated roster with no current children listed. This is a potential health and safety risk to children in care.
8
9
10
11
12
13
14
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:Cynthia Gray
LICENSING EVALUATOR NAME:Shannan Williams
LICENSING EVALUATOR SIGNATURE:
DATE: 10/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/21/2024


LIC809 (FAS) - (06/04)
Page: 5 of 7
Document Has Been Signed on 10/21/2024 02:50 PM - It Cannot Be Edited


Created By: Shannan Williams On 10/11/2024 at 12:22 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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: RUIZ, ANA LAURA FAMILY CHILD CARE
FACILITY NUMBER: 376601494

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/22/2024
Section Cited
CCR
102423(a)(2)

1
2
3
4
5
6
7
102423(a)(2) Personal Rights 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: To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met by:
1
2
3
4
5
6
7
The Licensee stated she is using mats for the children and a play pen for infants.
8
9
10
11
12
13
14
Based on Licensee admittance, interviews and photos, it was determined the licensee is allowing children and infants to take naps on the couch. This is a potential health and safety risk to children in care.
8
9
10
11
12
13
14
Type B
10/22/2024
Section Cited
CCR102416.1(d)

1
2
3
4
5
6
7
102416. 1(d)- Personnel Records All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
The Licensee stated any helper will have a file at the facility for an LPA to review at anytime. The licensee will provide a written declaration to LPA Williams no later than 10/22/2024.
8
9
10
11
12
13
14
Based on the licensee's admittance, interviews and record review, three helpers did not have personnel files. This is a potential health & safety risk to children in care.
8
9
10
11
12
13
14
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:Cynthia Gray
LICENSING EVALUATOR NAME:Shannan Williams
LICENSING EVALUATOR SIGNATURE:
DATE: 10/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/21/2024


LIC809 (FAS) - (06/04)
Page: 6 of 7
Document Has Been Signed on 10/21/2024 02:50 PM - It Cannot Be Edited


Created By: Shannan Williams On 10/11/2024 at 12:33 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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: RUIZ, ANA LAURA FAMILY CHILD CARE
FACILITY NUMBER: 376601494

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/22/2024
Section Cited
CCR
102370(d)(1)

1
2
3
4
5
6
7
102370(d)(l) Criminal Record Clearance All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not as evidenced by:
1
2
3
4
5
6
7
The Licensee stated she willensure all individuals will be cleared and associated to the facility prior to working at the facility. The licensee will provide a written declaration to LPA Williams no later than 10/22/2024.
8
9
10
11
12
13
14
Based on record review, two adult workers did not obtain the required criminal record clearance or exemption and were not associated to the facility prior to being present at the facility or transporting child. This is an immediate health & safety risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Cynthia Gray
LICENSING EVALUATOR NAME:Shannan Williams
LICENSING EVALUATOR SIGNATURE:
DATE: 10/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/21/2024


LIC809 (FAS) - (06/04)
Page: 3 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: RUIZ, ANA LAURA FAMILY CHILD CARE
FACILITY NUMBER: 376601494
VISIT DATE: 10/21/2024
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
26
27
28
29
30
31
32
Also, LPAs Hood and Williams informed the licensee Ana Laura Ruiz to provide a copy of this licensing report dated 10/21/2024, 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.

An office meeting is scheduled with the Licensee on 11/01/2024 at 1:30 pm at the San Diego Child Care Regional Office.

Translator #50 - Marco translated in Spanish as needed for the Licensee.

An exit interview was conducted with licensee Ana Laura Ruiz. The licensee was provided appeal rights (LIC9058) and their signature on this form acknowledges receipt of these rights. A notice of site visit was provided. LPAs observed that LIC 9213 was posted. See LIC 809D for the deficiencies.

SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Shannan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
LIC809 (FAS) - (06/04)
Page: 7 of 7