426215780-8-1-2022-17-CC-GRES-CGVPYE-20220801114350

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215780
Report Date: 08/01/2022
Date Signed: 08/01/2022 11:43:59 AM

Document Has Been Signed on 08/01/2022 11:43 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 TINY TOTS CHILD CARE		FACILITY NUMBER:	426215780
ADMINISTRATOR:	ERICA RAMIREZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 406-9471
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 11	DATE:	08/01/2022
TYPE OF VISIT:	POC	UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Erica Ramirez		TIME COMPLETED:	11:43 AM

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 8/1/2021 at 9:50 AM Licensing Program Analyst, (LPA) Gigi Reyes conducted an unannounced Plan of Correction (POC) Inspection and met with Licensee, Ms. Erica Ramirez, LPA explained the purpose of the inspection. LPA asked pre-screening questions related to COVID - 19 and based on Licensee’s responses there was no COVID -19 exposure on site. LPA observed 11 children and 3 staff present at the time of the inspection. On 7/25/2022 the Licensee/FCCH was cited of the following Type A and Type B deficiencies 1. 102416.5(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. During today’s inspection, licensee was operating within capacity limit, there were 11 children present, 8 of whom are school age and 3 of the children are over the age of 2 years old Type B deficiencies 1. 102425(j)(2) The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: (C) Infants up to 12 month of age who are sleeping in a position other than on their back During today's inspection, LPA reviewed the infant # 1 file and it contains the updated sleep chart Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2022

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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAMIREZ FCC AKA TINY TOTS CHILD CARE	FACILITY NUMBER: 426215780
	VISIT DATE: 08/01/2022

NARRATIVE

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2. 1596.8662(b)(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

On 7/27/2022 and 7/28/222 Licensee and Assistant respectively took the Mandated Reporter Training and submitted the certificate to Community Care Licensing (CCL) on 7/28/2022

3. 102416.3(a)(6). (a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.
During today’s inspection, it was observed that the off limit areas are not in use by day care children.

4.102421(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).

5.102421(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required

On 8/1/2022, LPA reviewed the newly created files for Child # 13, Child # 14 and Child # 15 and found complete.

6.102425(c)(2) An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility…

On 8/1/2022 POC inspection, it was observed that Infant 1 has a completed and signed Individual Safe Sleep Plan LIC 922) on file

Continued on LIC 809 C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2022

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 TINY TOTS CHILD CARE	FACILITY NUMBER: 426215780
	VISIT DATE: 08/01/2022

NARRATIVE

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During today's inspection, Licensee submitted new facility sketch indicating additional bedroom located at the first floor of the FCCH to be utilized by napping infant. LPA inspected the additional bedroom for safety, cleanliness and ventilation and was found to be in compliance at the time of the inspection.

During today's inspection, no deficiencies were cited. Notice of Site Visit was issued.

Evaluation Report was reviewed and discussed with Licensee, Ms. Erica Ramirez

Exit interview was conducted with Licensee, Ms. Erica Ramirez

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2022

LIC809 (FAS) - (06/04)

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