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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515407764
Report Date: 07/16/2020
Date Signed: 06/24/2024 12:05:40 PM

Document Has Been Signed on 06/24/2024 12:05 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:RAMIREZ, JUANITA FAMILY CHILD CARE HOMEFACILITY NUMBER:
515407764
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
07/16/2020
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Juanita RamirezTIME COMPLETED:
02:10 PM
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On 7/16/2020 at 1:00pm, Licensing Program Analyst (LPA) Laura Chavez conducted a pre-licensing inspection in response to an application for a change of location. The requested capacity is 8. Due to the current State of Emergency caused by COVID-19 the inspection was conducted via tele-inspection. Days and hours of operation will be Monday-Friday; 5:00am- 5:00pm. The applicant is not the homeowner. The applicant understands that child care must be provided in the primary residence and that 24 hour care shall not be provided to one child at any one time. The home was toured via FaceTime inside and out. The home is a two-story home with three bedrooms and three bathrooms. The floor and yard plan were verified. The second floor, living-room #1, bedrooms #1 and #2, dinning room, kitchen, and storage area underneath the stairs are off-limits to children. A gate at the bottom of the stairs prevent children from accessing the second floor of the home. A retractable safety gate installed at the entry of living-room #2 (aka: Kids Area) prevent children from accessing off-limits areas on the first floor. Two adults and three minors reside in the home. The home is clean and orderly at this time and will remain so during child care hours. Electrical outlets not in use were covered. No cords to window blinds were observed. The applicant understands that the fireplace located in living-room #1 shall be securely screened should it be used while children are in care. There is a working telephone The sharp knives, cleaning supplies, medicines, are stored out of the reach of children. Poisons shall be locked in the detached garage located in the backyard. The applicant stated that there are no firearms and/or other dangerous weapons in the home and none were observed during today's inspection. There are age appropriate toys available for the children. There is a fully charged fire extinguisher in the home rated 2A:10:BC. Notification of Parents Rights, Emergency Disaster Plan, with the Earthquake Preparedness Checklist are posted.
Report continued: See LIC 809-C
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 07/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2020
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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: RAMIREZ, JUANITA FAMILY CHILD CARE HOME
FACILITY NUMBER: 515407764
VISIT DATE: 07/16/2020
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The applicant understands that if she does not carry liability insurance for the Family Child Care Home, parents will be required to sign insurance affidavits. The applicant was reminded of maintaining the child care roster and children's records current at all times. The applicant shall continue to conduct and document emergency disaster drills at least once every six months. The children will use the designated play area as shown on the yard sketch as the outdoor play area. The play area and backyard area are completely fenced. A fence divides the play area from the backyard. There is a pet German Shepherd, trampoline and fountain in the backyard area. The applicant stated that the German Shepherd will remain separate and the trampoline will not be used when children are in care. The applicant agrees to keep the fountain from pooling water. The licensee was provided with pool fencing information if the fountain is used in the future.

Smoking is prohibited during the hours of operation. The applicant understands the responsibility of securing copies of forms and regulations from the website (www.ccld.ca.gov). Megan's Law is available at www.meganslaw.ca.gov/.

Any proposed changes to the physical plant, telephone number, or change of address shall be immediately reported to the Department.

The following is needed prior to licensing the home:
1. Property Owner/Landlord Notification and Consent forms (LIC 9149 & LIC 9151).
2. Proof of making the play area from backyard inaccessible to children.
3. Proof of making the fireplace in living-room 1 inaccessible to children in care.
4. Proof of making the wood-stove in living-room 2 inaccessible to children in care.
5. Proof of locking kitchen door leading into garage.
6. Proof of lock placed on cabinet in garage containing poisons.
7. Proof of making plastic bags inaccessible to children in care.
8. Proof of installing a working smoke detector.
9. Proof of installing a working carbon monoxide detector.
10. Proof of Mandated Reporter Training.
11. Proof of current EMSA-approved Pediatric CPR, First Aid training.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2020
LIC809 (FAS) - (06/04)
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