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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417741
Report Date: 08/30/2024
Date Signed: 09/06/2024 01:40:56 PM

Document Has Been Signed on 09/06/2024 01:40 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 JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:RAMIREZ RAMENO, EDUVIGUEZFACILITY NUMBER:
434417741
ADMINISTRATOR/
DIRECTOR:		EDUVIGUEZ RAMIREZ RAMENOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 449-8576
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
08/30/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
05:00 PM
MET WITH:Eduviguez Ramirez RamenoTIME VISIT/
INSPECTION COMPLETED:
06:05 PM
NARRATIVE
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Amended report for visit conducted on 08/30/2024

Licensing Program Analyst (LPA) Deanna Villagrana met with licensee Eduviguez Ramirez Rameno for a case management visit. LPA explained the nature of the visit. Present were licensee, licensee's husband, two day care assistants and 12 day care children including three infants.

LPA arrived to the facility of Annett Ramirez Vazquez and observed licensee Eduviguez Ramirez Rameno's husband arrived to the home with three day care children. LPA made contact with Annett Ramirez Vazquez and requested information of vehicle she uses to transport children. Annett stated the car is a red car and was parked next door at her aunt Eduviguez home. LPA approached the vehicle and observed husband attempting to drive off in the vehicle. LPA stopped and asked if she could verify car seats in the vehicle. LPA then observed three children in the back seat. LPA observed the children were the same children who arrived with him five minutes prior. LPA asked ages of children. Two were identified as seven years old and one eight year old. Children were not observed in booster seats. LPA made contact with licensee Eduviguez inside the home and explained the reason for the contact. Licensee stated they had car seats available for children and pointed to car seats in front of the home.

The following type B deficiency was cited on the attached page (809-D). Licensee was informed that failure to correct the deficiency by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2024
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 08/30/2024 05:56 PM - It Cannot Be Edited


Created By: Deanna Villagrana On 08/30/2024 at 05:13 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: RAMIREZ RAMENO, EDUVIGUEZ
FACILITY NUMBER: 434417741

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/06/2024
Section Cited
CCR
102423(a)(2)

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To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This requirement was not met as evidenced by Licensee's husband transported two children under the age of eight years old without booster seats.
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Licensee will submit a statement stating she understands regulations pertaining to child car seat laws to CCLD by POC date.
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This poses a potential risk Health, Safety Personal Rights risk to children 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.
SUPERVISOR'S NAME:Susy Cervantes
LICENSING EVALUATOR NAME:Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2024


LIC809 (FAS) - (06/04)
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