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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515408192
Report Date: 09/12/2022
Date Signed: 09/12/2022 11:22:22 AM

Document Has Been Signed on 09/12/2022 11:22 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:RAMIREZ, CORAL FAMILY CHILD CARE HOMEFACILITY NUMBER:
515408192
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/12/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:07 AM
MET WITH:Coral RamirezTIME COMPLETED:
11:25 AM
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A prelicensing inspection was conducted today at 9:07am by Licensing Program Analyst (LPA),Laura Chavez. LPA met with applicant representative Coral Ramirez. The applicant is requesting a license for a capacity of 8. The facility will operate 24 hours a day, Monday-Sunday. The applicant understands that 24 hour care to one child at one time is not allowed. The residence is a 4 bedroom 2 bath single story home. There is one adult and two minors currently living in the home.

The home and yard were toured, and the facility sketch was verified. The following areas will be off limits to children: garage, Rooms 1, 2 and 4 as designated on the Facility Sketch received 9/7/2022. These areas have been made inaccessible by means of locks, doorknob covers and chain latch. During today's inspection LPA Chavez did not observe any poisons in the home. The applicant understands that any poison brought into the home shall be locked. The home is equipped with a working smoke detector and fire extinguisher rated at least 2A10BC. The fireplace is securely screened with a metal screen. The applicant understands that the fireplace shall be securely barricaded while in use when children are present. The children will use the backyard as the outdoor play area. The backyard is enclosed by a fence, however there are two pieces of missing fence boards, therefore, the applicant understands that constant supervision must be provided while children are outside and or the fence boards are replaced. There is no pool, spa, pond, fountain, or any other body of water on the premises.

Report continued: See LIC809-C
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2022
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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: RAMIREZ, CORAL FAMILY CHILD CARE HOME
FACILITY NUMBER: 515408192
VISIT DATE: 09/12/2022
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LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Home, children’s forms/records, facility forms/records, and information to be posted. The applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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 applicant/licensee/facility representative 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 additional resource. LPA also informed the applicant 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. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at: https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with applicant Coral Ramirez. The home is ready to be licensed.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022
LIC809 (FAS) - (06/04)
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