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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 515407764
Report Date: 07/30/2026
Date Signed: 07/30/2026 11:40:12 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/08/2026 and conducted by Evaluator Laura Chavez
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20260608142922

FACILITY NAME:RAMIREZ, JUANITA FAMILY CHILD CARE HOMEFACILITY NUMBER:
515407764
ADMINISTRATOR:RAMIREZ, JUANITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 598-2490
CITY:YUBA CITYSTATE:CAZIP CODE:
95991
CAPACITY:14CENSUS: 8DATE:
07/30/2026
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Juanita RamirezTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Licensee failed to report incident as required.
INVESTIGATION FINDINGS:
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On July 30, 2026, at 10:35am, Licensing Program Analyst (LPA) Laura Chavez conducted an unannounced complaint inspection to the facility and met with Licensee Juanita Ramirez. It was alleged that the licensee failed to report an unusual incident as required. On June 9, 2026, an interview with Licensee Juanita Ramirez stated that she believed she had reported the unusual incident to licensing as required.

Based on an interview, the preponderance of evidence standard has been met; therefore, the above allegation is substantiated. California Code of Regulations (Title 22), 102416.2(a)(b)(3)(C) is being cited on the attached LIC 9099D.

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

Exit interview conducted, and report was reviewed with the licensee Juanita Ramirez.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 13-CC-20260608142922
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/28/2026
Section Cited
CCR
102416.2(a)(b)(3)(C)
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Reporting Requirements: The licensee shall report the following information the Department by telephone or fax within the Department's next business day and during normal working hours (8am to 5pm). Any unusual incident or child absence that threatens the physical or emotional health or
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The licensee agrees to provide a written statement on how she will ensure reporting any unusual incidents to the Department as required.

The plan of correction shall be submitted to CCLD on or before 8/28/2026.
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safety of any child."

This requirement is not met as evidenced by: Based on an interview an interview with Licensee Juanita Ramirez stated that she believed she had reported the unusual incident to licensing as required.
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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: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2026
LIC9099 (FAS) - (06/04)
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