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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004275
Report Date: 11/21/2024
Date Signed: 11/21/2024 12:22:18 PM

Document Has Been Signed on 11/21/2024 12:22 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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:RAMOS, ERICA K. & RAMOS, MARC A.FACILITY NUMBER:
384004275
ADMINISTRATOR/
DIRECTOR:		RAMOS, ERICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 341-4144
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
11/21/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Erica Ramos, Marc RamosTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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On 11/21/2024 at 8:40AM., Licensing Program Analyst (LPA), Luis Gomez met with Licensee, Marc Ramos and Erica Ramos. The purpose of today’s visit was explained and was for an unannounced, annual random inspection. Present was the licensee and assistant caring for 10 children. (4 infant-age, 6 Preschool-age) Adults present have criminal record clearances. Licensee’s home is a three bedroom, two bathroom, two level house. Licensee’s days and hours of operations are: Monday- Friday, 8:30AM- 5:00PM. The areas of the home designated for childcare are: (Lower Level) Dining/ Multi-Purpose Room, (Upper Level) Bedroom #2 (Napping Only), Living Room (Playroom), Bathroom #1 and Covered Patio Area. The areas of the home designated as off-limits are: (Upper Level) Bedroom #1, Garage (Detached), (Lower Level) Kitchen, Bedroom #3 (Loft), and Bathroom #2. LPA inspected home with the licensee for health and safety hazards.

At 8:45AM., the following was observed: Facility was clean, neat, with age-appropriate playthings available for the children. The floors and ground surfaces were clear of any obstructions or hazards. Covered Patio has storage hangers available for children’s belongings. LPA observed child safety gates installed on staircase. Facility has several tables, chairs, which are scaled to the appropriate size. Infant feeding chairs have removable table component. Accessible furniture and toys inspected were in good repair.

For napping services, LPA observed crib and plastic cots stored in bedroom #2. Per licensee, napping supplies (linens, blankets) are washed weekly by licensee. Bathroom #1 was observed clean, with faucet and toilet in operating condition. Diaper changing table is available as needed. Detergents, cleaning compounds, and item which can pose a danger, have been stored in the off-limit areas. Home was a comfortable temperature, ventilation, and lighting. Home has telephone service; carbon monoxide/ smoke combination detectors; and fire extinguisher (2A:10BC). (REFER TO 809C, FOR CONT.)

Marie RodriguezTELEPHONE: (650) 266-8800
Luis GomezTELEPHONE: (650) 266-8800
DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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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Document Has Been Signed on 11/21/2024 12:22 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066


FACILITY NAME: RAMOS, ERICA K. & RAMOS, MARC A.
FACILITY NUMBER: 384004275

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/21/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 10:00AM., Based on facility record review, LPA confirmed licensee's mandated reporter training course (AB1207) has expired. This poses a potential health and safety risk to children in care.
POC Due Date: 12/02/2024
Plan of Correction
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Licensee's will renew mandated reporter training course (AB1207) by the due date: 12/2/2024. Proof of correction will be submitted to LPA via email.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Marie RodriguezTELEPHONE: (650) 266-8800
Luis GomezTELEPHONE: (650) 266-8800

DATE: 11/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2024

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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: RAMOS, ERICA K. & RAMOS, MARC A.
FACILITY NUMBER: 384004275
VISIT DATE: 11/21/2024
NARRATIVE
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(PAGE 2)
Home does not have any pools; fishpond; jacuzzi; or other bodies of water.

At 9:30AM., LPA reviewed facility records including the children and staff files.
The staff file were reviewed and included the Proof of Immunization; and Proof of completed Mandated Reporter Training Course (AB1207).

LPA reminded licensees to ensure staff's required forms are stored in facility records including: LIC9108, LIC9052, and LIC501.

The children’s files were reviewed and included the: Identification and Emergency Information (LIC700); Consent for Medical Treatment (LIC627); and Notification of Parents Rights (LIC995).

LPA reminded licensee to document infant napping conditions including each 15 minute review. Information collected must include the child's name, date, and time of review. Advisory Note/ Technical Violation (LIC9102TV) was issued.

At 10:00AM., Based on facility record review, LPA confirmed licensee's mandated reporter training course (AB1207) has expired.

Licensee’s cardiopulmonary resuscitation (CPR)/ Pediatric First Aid Certification was current, expiring: 11/2025.

Facility is conducting emergency disaster drills every six months, with last drill completed on 9/19/2024.

The required forms are posted in entry and include the: License; Notification of Parent’s Rights (PUB379); and Written Emergency Disaster Plan (LIC610).

Per licensee, isolation of an ill child is in the bedroom#1. Per licensee, facility provides all daily snack/ meal services for children in care. LPA reminded licensee if food items are brought by families, containers must be labeled. Per licensee, they own a pet dog and cat. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: RAMOS, ERICA K. & RAMOS, MARC A.
FACILITY NUMBER: 384004275
VISIT DATE: 11/21/2024
NARRATIVE
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(PAGE 3)
Licensees were reminded that all adults 18 years and over living in the home, person who provides care and supervision to children, and staff who have contact with children, including employee and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain criminal clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

LPA discussed safe sleep regulations with licensee and the Child Care Licensing Safe Sleep Web page at:https://www.cdss.ca.gov/inforesource/child-care-licesning/public-information-and-resources/safe-sleep as an additional resource. LPA informed licensee of the importance of checking for recalled infant devices on United States consumer Product Safety Commission (CPSC) website at http://www.cpsc.gov and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.



Facility was informed of the www.mychildcareplan.org site is a consumer education website that helps families obtain child care by connecting to child care providers and resources and referral agencies (R&R) throughout California.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 20-02-CCP. When an IMS is provided, a plan for IMS must be submitted to the department. the following information regarding ADA was provided: US Department of Justice (USDOJ) toll- free ADA information line at (800) 514-0301 (voice)/ (800) 514- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tool, please send them to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesource/community-care-licensing/inspection-process.(REFER TO 809C., FOR CONT.)
SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: RAMOS, ERICA K. & RAMOS, MARC A.
FACILITY NUMBER: 384004275
VISIT DATE: 11/21/2024
NARRATIVE
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(PAGE 4)
Based on today's inspection, deficiencies were observed in areas evaluated according to California Title 22, Div. 12 Chap. 3, Health and Safety Code of Regulations. An exit interview, plan of correction, and facility evaluation report was discussed with Licensees, Marc Ramos and Erica Ramos. Licensee’s signature of this form acknowledges the receipt of these documents.

During exit interview, licensees confirmed no registered sex offenders are living in the facility, and LPA completed RSO profile. Notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC809 (FAS) - (06/04)
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