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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 165620081
Report Date: 05/17/2023
Date Signed: 05/17/2023 11:13:20 AM

Document Has Been Signed on 05/17/2023 11:13 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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RAMIREZ, MAYRA FAMILY CHILD CAREFACILITY NUMBER:
165620081
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
05/17/2023
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Mayra RamirezTIME COMPLETED:
11:30 AM
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On 5/17/2023, Licensing Program Analyst (LPA) Ruby Ocegueda made a Case Management inspection. LPA met with Licensee Mayra Ramirez and toured facility inside, and a census taken. The purpose of today's inspection was to conduct a post licensing inspection. The pre-licensing inspection took place on 3/30/2023. Currently, licensee has four day care children enrolled. LPA reviewed a sample of children files and found that required forms were in the files. LPA reviewed licensees file and discussed all documents that should be available for review. This is a two-story home and children will have access to the following areas on the first floor: living room, entryway bathroom, dining room/play room and kitchen. Off-limits rooms and closets are made inaccessible by use of baby gates and plastic door knob covers. There were no hazardous items observed to be accessible to children. The back yard is off limits and inaccessible. Licensee was reminded to continue to keep stairs and garage off limits and written resources surrounding safe sleep were provided. Hours of operation are from 7:00 A.M to 5:30 P.M. Monday through Friday.

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

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Report continued to 809-C
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2023
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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: RAMIREZ, MAYRA FAMILY CHILD CARE
FACILITY NUMBER: 165620081
VISIT DATE: 05/17/2023
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Licensee was reminded that all adults 18 and over living or working in the home, 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.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiencies observed during today’s inspection. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Mayra Ramirez.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC809 (FAS) - (06/04)
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