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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 406216408
Report Date: 01/25/2023
Date Signed: 01/25/2023 10:12:01 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/08/2022 and conducted by Evaluator Elvin Baddley
COMPLAINT CONTROL NUMBER: 17-CC-20221208080806
FACILITY NAME:RAMIREZ FCC AKA SUN COAST KIDSFACILITY NUMBER:
406216408
ADMINISTRATOR:LISBETH RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 904-3569
CITY:GROVER BEACHSTATE: CAZIP CODE:
93433
CAPACITY:14CENSUS: 0DATE:
01/25/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Lisbeth RamirezTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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1. Licensee did not provide proper supervision to child in care
INVESTIGATION FINDINGS:
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On 1/25/22, at 8:45 AM Licensing Program Analysts (LPAs) Elvin Baddley and Francisca Velazquez, conducted an unannounced inspection of the abovementioned Family Child Care Home (FCCH) to conclude the investigation of the allegation noted and deliver a finding. LPAs met with Lizbeth Ramirez, Licensee of the FCCH and explained the nature and purpose of the inspection. LPAs toured the interior and exterior of the FCCH and note no children are in care.

The investigation included record reviews, interviews of the complainants, Licensee, and a sampling of current and past parents of children in care..

The allegation reference the Licensee not provide proper supervision to child in care. Specifically, a child in care (C9) being left alone and unattended in the FCCH's family room, while sitting on a couch in a soiled diaper.
(CONT 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 17-CC-20221208080806
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RAMIREZ FCC AKA SUN COAST KIDS
FACILITY NUMBER: 406216408
VISIT DATE: 01/25/2023
NARRATIVE
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The allegation was corroborated by a parent of a child in care..

Based on LPAs observation, interviews, record reviews, parent interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation, (Title 22 Division 12 and 102417 (a), is being cited on the attached LIC 9099 D).

A closing interview was conducted with Licensee. Licensee was provided and advised of Appeal Rights. A copy of this report was reviewed and provided to the Licensee LPAs explained the facility's required plan of correction. Licensee was provided the Acknowledgement of Receipt (LIC 9224). Parents shall receive a copy of 9099, 9099C, and 9099D. Each parent/guardian shall sign and complete an LIC 9224 with copies maintained in each child's file. Every parent enrolling a new child in the facility shall receive a copy of the report and sign a LIC 9224 for the next twelve months. Licensee's signature at the bottom of this report acknowledges Licensee received the reports and understand their rights.

The Notice of Site Visit was also provided to the Licensee as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Citations on this Visit Report are Under Appeal!

Control Number 17-CC-20221208080806
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAMIREZ FCC AKA SUN COAST KIDS
FACILITY NUMBER: 406216408
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
01/26/2023
Section Cited
CCR
102417
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102417 Operation of a Family Child Care Home: (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times....This requirement was not met as evidenced by:
Based on LPA's observations, interviews and
record review, C9 was left unsupervised
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Licensee will submit a written plan of correction stating measures to be taken in order to be in compliance with Title 22 Regulations and avoid any lack of supervision violations. Written plan will be sent by either fax (805) 685-1820 or email to elvi.baddley@dss.ca.gov.by 1/26/22
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and unattended in the family room of the FCCH on the couch alone and in a soiled diaper.
This poses an immediate risk to health, safety or personnel rights of 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.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3