<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910484
Report Date: 07/13/2021
Date Signed: 07/13/2021 01:51:09 PM

Document Has Been Signed on 07/13/2021 01:51 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RAMIREZ, MARIA FAMILY CHILD CAREFACILITY NUMBER:
153910484
ADMINISTRATOR:RAMIREZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 474-8939
CITY:WASCOSTATE: CAZIP CODE:
93280
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 7DATE:
07/13/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Maria RamirezTIME COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 07/13/2021 Licensing Program Analyst (LPA), Rene Mancinas and Associate Governmental Program Analyst (AGPA) Stephanie Navarro, conducted an unannounced Annual Required Inspection and was met by Licensee, Maria Ramirez, who is Spanish speaking. LPA Mancinas provided services in Spanish. Days and hours of operation are Monday through Saturday 04:00am to 05:00pm.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the living room, kitchen, dining room, children’s restroom (located in hallway), one bedroom, and outdoor play area are accessible for children to use. All other rooms are off-limits and made inaccessible by use of children safety locks/devices. There are pets at this home. Licensee understands responsibility of any action taken by pet involving day care children. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

There are no fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number.

LPA discussed Safe Sleep Regulations with licensee. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care.

(Continued on 809-C)

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Rene Mancinas
LICENSING EVALUATOR SIGNATURE: DATE: 07/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/13/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
Document Has Been Signed on 07/13/2021 01:51 PM - It Cannot Be Edited


Created By: Rene Mancinas On 07/13/2021 at 01:28 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: RAMIREZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 153910484

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/13/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/23/2021
Section Cited
CCR
102417(b)

1
2
3
4
5
6
7
The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement was not met as evidenced during today's inspection of areas accessible to children in care. (See 809-C for further). This poses a potential risk to the health, safety, and personal rights of children in care.
1
2
3
4
5
6
7
Licensee stated she will correct areas of concern to ensure home is clean and orderly. Licensee state she will submit proof via photos to Fresno RO by POC date.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Susie Fanning
LICENSING EVALUATOR NAME:Rene Mancinas
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2021


LIC809 (FAS) - (06/04)
Page: 5 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: RAMIREZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 153910484
VISIT DATE: 07/13/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited. (See 809-D for further). Appeal rights were provided.

During inspection/review of facility files, Licensee provided proof of First-Aid/CPR completion. The training was completed on 07/05/2018, and was to be renewed by 07/05/2020. Licensee was informed that per regulation requirement, this training must be renewed every two years. This poses a potential risk to the health, safety, and personal rights of children in care.

During inspection/review of facility files, Licensee provided proof of Child Abuse Mandated Reporter Training. Training was completed on 04/27/2019, and was to be renewed by 04/27/2021. Licensee was informed that per regulation requirement, this training must be renewed every two years. This poses a potential risk to the health, safety, and personal rights of children in care.

During inspection of accessible areas, LPA observed the following-

-The carpet areas in the living room, kitchen, and hallway were dirty and had food crumbs (e.g. chips, bitten apples) laying on the floor.

-Inspection of kitchen cabinets revealed food debris/crumbs. LPA observed spider webs and signs of pests.

-Inspection of the outdoor play area revealed, two bird cages (with birds) hanging above a chalkboard wall where children play. Area was covered with bird droppings.

-Inspection of the outdoor play area revealed recyclable items (e.g. plastic bottles, cans, and glass bottles) located in an area where children play. This area was also covered in excessive ants.

Licensee was advised of the above conditions and informed of the regulation requirement indicating the home shall be in clean and orderly fashion.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. Exit interview conducted with Licensee.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Rene Mancinas
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2021
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 07/13/2021 01:51 PM - It Cannot Be Edited


Created By: Rene Mancinas On 07/13/2021 at 01:19 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: RAMIREZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 153910484

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/13/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/13/2021
Section Cited
CCR
102416(c)

1
2
3
4
5
6
7
The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
1
2
3
4
5
6
7
Licensee stated she will look into registering and completing an EMSA First-Aid/CPR training as soon as possible. Proof to be submitted to Fresno RO by POC date.
8
9
10
11
12
13
14
This requirement was not met as evidenced during today's inspection of facility files. (See 809-C for further). This poses a potential risk to the health, safety, and personal rights of children in care.
8
9
10
11
12
13
14
Type B
08/13/2021
Section Cited
HSC1596.8662(4)(b)(1)

1
2
3
4
5
6
7
On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal
1
2
3
4
5
6
7
Licensee was provided information on where to renew training, www.ccld.ca.gov . Training available in Spanish. Licensee stated she would complete and provide proof to Fresno RO by POC date.
8
9
10
11
12
13
14
mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement was not met as evidenced during today's inspection (See 809-C for further). This poses a potential risk to the health, safety, and personal rights of children in care.
8
9
10
11
12
13
14
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:Susie Fanning
LICENSING EVALUATOR NAME:Rene Mancinas
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2021


LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: RAMIREZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 153910484
VISIT DATE: 07/13/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Provider understands she is to physically check on sleeping infants every fifteen minutes and document any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is required/completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

(Continued 809-C)

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Rene Mancinas
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2021
LIC809 (FAS) - (06/04)
Page: 2 of 5