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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216777
Report Date: 12/08/2023
Date Signed: 12/18/2023 08:16:36 AM

Document Has Been Signed on 12/18/2023 08:16 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:RAMIREZ FCC AKA SPROUTS OUTDOOR ACADEMYFACILITY NUMBER:
406216777
ADMINISTRATOR:KATIE RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 458-3400
CITY:NIPOMOSTATE: CAZIP CODE:
93444
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/08/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Katie RamirezTIME COMPLETED:
12:30 PM
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On December 8, 2023, Licensing Program Analyst (LPA) Gigi Reyes conducted an announced pre-licensing inspection at a large Family Child Care Home. LPA met with applicant, Katie Ramirez. LPA discussed the purpose and scope of the inspection. There were no children present at the time of the inspection.

During the inspection, LPA and applicant toured the interior and exterior of the home, which is a one-story structure consisting of 5 bedrooms, 3 baths. Areas accessible to children include the attached living space (converted into day care area), the bathroom and the fenced backyard. The remainder of the home will not be accessible to children. This separation is maintained by a closed and locked door. LPA observed age-appropriate toys,play structure and cots, and noted that knives and cleaning materials are kept inaccessible to children in care. The bathroom is free of hazards. The 2A10 BC fire extinguisher was serviced on 9/29/2023, the dual carbon monoxide and smoke detectors were tested and found to be functional. The backyard is enclosed with wooden fence, the entry/exit door leading to the backyard is equipped with lock. The backyard door serves as the day care entrance. The day care backyard is separated from the main home's backyard area, ensuring a clear boundary between spaces. LPA observed a covered spa which is securely locked. The applicant stated that there are no guns and ammunition in the home. Control of property was also reviewed. Fire safety inspection clearance was granted on 11/8/2023.


Applicant completed the Family Child Care orientation on 11/7/2023. Pediatric 1st Aid/CPR certificate expires on 1/13/2024 while the Mandated Reporter Training expires on 11/8/2025. Applicant was reminded that AB 1207 and Pediatric CPR should be renewed every 2 years.

Cont. on LIC 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2023
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 SPROUTS OUTDOOR ACADEMY
FACILITY NUMBER: 406216777
VISIT DATE: 12/08/2023
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 Applicant is scheduled to attend the Preventative Health and Safety Training on 12/22/2023. Further, applicant stated she plans to get a liability insurance.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record 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 reviewed with applicant the LIC 311D, Forms/Records to Keep in your Family Child Care Homes, children's forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.



LPA discussed the safe sleep regulations with Applicant 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. LPA also informed Applicant 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 of infant devices or their purchased equipment.
Cont LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2023
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RAMIREZ FCC AKA SPROUTS OUTDOOR ACADEMY
FACILITY NUMBER: 406216777
VISIT DATE: 12/08/2023
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On this date, 12/7/2023, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility address. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search.

However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.



Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.



Exit interview was conducted and report was reviewed with the Applicant ,Katie Ramirez The home meets Title 22 Division 12 requirements a Large (14) FCCH License and applicant has credentials to qualify for a large License.

Today, 12/8/2023, a 90-day Provisional Large License was issued.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2023
LIC809 (FAS) - (06/04)
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