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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012761
Report Date: 06/08/2023
Date Signed: 06/08/2023 03:37:10 PM

Document Has Been Signed on 06/08/2023 03:37 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
198012761
ADMINISTRATOR:RAMIREZ, MARIA REMEDIOSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 575-1156
CITY:EL MONTESTATE: CAZIP CODE:
91731
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
06/08/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Licensee Maria Ramirez TIME COMPLETED:
02:40 PM
NARRATIVE
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Licensing Program Analysts (LPA) Roxana Lopez conducted an unannounced poc (plan of correction) inspection to insured that the Type A deficiency cited on 9/2/16/2022 and Type B deficiency cited on 8/2/2022 have been cleared. LPA met with Maria Ramirez, licensee who guided analysts on a tour of the facility. There were 7 children present during this inspection.

Per Licensee, they provided corrections via email 9/5/2022- however LPA did not receive corrections. The following was observed:

- LPA obtained copies of declarations for Type A citation dated 9/3/2022

- LIC 624 acknowledgment form is on file

- LIC 995A is on file

LPA advised the licensee how to access froms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiency on this date and POC clearance letter was issued during the visit.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, Maria Ramirez

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2023
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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