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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216558
Report Date: 02/24/2023
Date Signed: 02/27/2023 07:37:53 PM

Document Has Been Signed on 02/27/2023 07:37 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:RAMIREZ FCCHFACILITY NUMBER:
426216558
ADMINISTRATOR:CECILIA RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 539-7276
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/24/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Cecilia RamirezTIME COMPLETED:
02:15 PM
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This is a change of location, previous facility number 426215582.

On 02/24/23, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced change of location, Pre-licensing inspection for a Large Family Child Care Home (FCCH) license. LPA met with Applicant, Cecilia Ramirez and discussed the purpose of today’s visit. There were no children in care at the time of the inspection.

Applicant requested a change of location for a large family childcare license. The home consists of three (3) bedroom, two (2) bathroom, kitchen, living room, dining room, garage, and outdoor yard. Applicant reports that she will use the living room, dining room, master bedroom with bathroom and outdoor yard, meanwhile two (2) bedrooms, one (1) bathroom and garage will be inaccessible to children in care.

LPA observed fireplace in living room that is inaccessible to children in care by a safety latch. LPA observed the kitchen area is made inaccessible by means of a baby gate. Garage, two (2) bedrooms and one (1) bathroom located in the hallway are also made inaccessible by door safety knobs. LPA observed that the FCCH is clean and orderly. In addition, there is plenty of ventilation for the children in care. LPA did not observe any toxins nor hazards items accessible to children in care. LPA observed that knives and medications are stored in an elevated cabinet in the kitchen that is locked. Cleaning compounds were observed on an elevated cabinet in the kitchen that is locked and in the garage that is also off-limits to the children in care. In the master bedroom, LPA observed plenty of age-appropriate activities for the children. The bathroom to be used for children in care was observed to be clean and free of toxins.

LPA toured the outdoor yard and notes that the outdoor yard is completely fenced. Filtered water is made accessible by individual water bottles or individual drinking cups. LPA observed outdoor equipment to be in good conditions and appropriate for the children that received day-care services. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2023
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RAMIREZ FCCH
FACILITY NUMBER: 426216558
VISIT DATE: 02/24/2023
NARRATIVE
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No bodies of water were observed. Applicant stated that there are no weapons or ammunition in the home.

There will be one (2) adult living in the home. Adults are fingerprint cleared. Applicant received fire clearance from Santa Maria Fire Department on 02/23/23.

LPA observed a regulation 2A10BC fire extinguisher in the FCCH at the time of the inspection that was purchased on 02/14/23. Applicant is reminded to service or purchase the fire extinguisher yearly. LPA observed a combination smoke and carbon monoxide detector that was tested at 12:15 PM was functioning at the time of the inspection.

Applicant’s Pediatric First Aid/CPR certificate is valid until 02/12/24. Applicant’s Mandated Reporter Training certificate is valid until 06/28/24. Control of property was verified via review of rental agreement.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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)/ (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

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
LPA 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-and-resources/safe-sleep as an
for additional resource. LPA 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. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2023
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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 FCCH
FACILITY NUMBER: 426216558
VISIT DATE: 02/24/2023
NARRATIVE
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A Notice of Site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Applicant, Cecilia Ramirez in Spanish due to Spanish being the Applicants primary language.

This home meets Title 22 Division 12 requirements of a Large FCCH license. Effective date of license will be noted as the present, 02/24/23.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2023
LIC809 (FAS) - (06/04)
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