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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376616127
Report Date: 12/12/2023
Date Signed: 12/12/2023 11:47:52 AM

Document Has Been Signed on 12/12/2023 11:47 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 DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:RAMIREZ, MARIA ELENA FAMILY CHILD CAREFACILITY NUMBER:
376616127
ADMINISTRATOR:MARIA ELENA RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 565-6591
CITY:SAN DIEGOSTATE: CAZIP CODE:
92124
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
12/12/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Maria Elena RamirezTIME COMPLETED:
11:55 AM
NARRATIVE
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On 12/12/23 at 10:30 AM, Licensing Program Analysts (LPAs) Keturah Lane and Sherlynn Banas conducted an unannounced case management visit to cite for deficiencies observed while at the facility for another reason. Upon arrival, LPAs were greeted by Maria Elena Ramirez and toured the facility. Present were Licensee, Licensee helper Maria Castenda, adult daughter Geome Ramirez and 12 children in care, including 4 infants. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. LPAs observed appropriate capacity and ratio while at the facility.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for childcare include: living room, dining room, family room, kitchen and downstairs ½ bathroom. Off limits areas include: entire second story which includes 3 bedrooms and additional bathroom and are inaccessible through use of a safety gate at the bottom of the stairs. The home has a fenced backyard available for outdoor activities.

During this visit, LPAs observed a 6-month sleeping in a play yard that was completely swaddled with a blanket. The head was not covered, but the arms were not free. Licensee stated that the child will not sleep unless he is swaddled. Infant does not have a medical exemption. LPA explained that the regulations do not allow infants to be swaddled while in care. Licensee also stated that she has not been completing the sleep logs because there is so much to do and not enough time to complete them. LPA provided an updated sleep log with multiple entries on the same page to make it easier for Licensee to meet this requirement. LPAs also reviewed children’s records and did not find any sleep logs completed except for a couple of days in October. (continued on LIC809-C...)

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2023
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 DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: RAMIREZ, MARIA ELENA FAMILY CHILD CARE
FACILITY NUMBER: 376616127
VISIT DATE: 12/12/2023
NARRATIVE
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Also, on 6/28/23, Licensee was cited Type B deficiencies for not having sleep logs completed for infants in care, three children were missing immunizations in their records and mandated reporter training was not renewed. LPAs observed mandated reporter training was completed on 7/26/23. Licensee was able to show LPA the immunizations for the three children cited back on 6/28/23. However, Licensee is still not completing sleep logs for infants in care.

LPAs discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPAs 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.

LPAs Keturah Lane and Sherlynn Banas informed licensee Maria Elena Ramirez that this report dated 12/12/23 documents 1 Type A citation, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPAs Keturah Lane and Sherlynn Banas informed the licensee to provide a copy of this licensing report dated 12/12/23 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.

Pursuant to Title 22 of the CA Code of Regulations, the following Type B deficiency was also cited (refer to LIC 809-D).

Exit interview conducted and report was reviewed with the licensee, Maria Elena Ramirez. 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.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/12/2023 11:47 AM - It Cannot Be Edited


Created By: Keturah Lane On 12/12/2023 at 11:19 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: RAMIREZ, MARIA ELENA FAMILY CHILD CARE
FACILITY NUMBER: 376616127

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/13/2023
Section Cited
CCR
102425(f)

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102425 Infant Safe Sleep
(f) An infant shall not be swaddled while in care. This requirement was not met as evidence by…
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Licensee immediately removed the blanket from the child. Licensee stated that she will explain to the mother that the child cannot be swaddled while in care.
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Based upon LPAs observation at the facility, a 6-month infant was sleeping in a playpen and was completely swaddled (unable to move his arms) which is an immediate health, safety and personal rights risk to children in care.
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Licensee will provide a written statement that she will not swaddle children in care and understands that it is a Type A citation. Licensee will submit written statement via e-mail to: Keturah.Lane@dss.ca.gov by 12/13/23.

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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:Tashima Daniel
LICENSING EVALUATOR NAME:Keturah Lane
LICENSING EVALUATOR SIGNATURE:
DATE: 12/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/12/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/12/2023 11:47 AM - It Cannot Be Edited


Created By: Keturah Lane On 12/12/2023 at 11:23 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: RAMIREZ, MARIA ELENA FAMILY CHILD CARE
FACILITY NUMBER: 376616127

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/14/2023
Section Cited
CCR
102425(j)(2)(D)

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Type B - 102425 Infant Safe Sleep
(j) The provider shall supervise infants while they are sleeping and adhere to the following requirements: (2) The provider shall check and document the following: (D) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: a. Date b. Infant’s name c. time of each 15-minute check. This requirement was not met as evidenced by…
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Licensee stated she will document 15-minute sleep checks for infants in care for 12/12/23 through 12/14/23 and e-mail logs to Keturah.Lane@dss.ca.gov by end of business day on 12/14/23.
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Based upon record review and Licensee statement, Licensee has not been completing daily sleep checks for infants in care which is a potential health, safety and personal rights risk to children in care.
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Licensee will also provide a written statement that she understands the safe sleep regulations requiring documentation of the 15-minute checks.

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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:Tashima Daniel
LICENSING EVALUATOR NAME:Keturah Lane
LICENSING EVALUATOR SIGNATURE:
DATE: 12/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/12/2023


LIC809 (FAS) - (06/04)
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