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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020241
Report Date: 06/17/2021
Date Signed: 06/17/2021 06:47:47 PM

Document Has Been Signed on 06/17/2021 06:47 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:RAMOS FAMILY CHILD CAREFACILITY NUMBER:
198020241
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 7DATE:
06/17/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Aida RamosTIME COMPLETED:
07:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Elka Chavez conducted an unannounced annual random inspection to the above facility. LPA met with Aida Ramos, Licensee, who guided analyst on a tour of the facility at approximately 1:30 pm. Also present during this inspection, Maria Elena Ramos (assistant). Jessica Ramos (assistant) joined Licensee after the touring the facility. Adults residing in the home was discussed and noted. Per Licensee, there are 8 children currently enrolled and 6 children present during inspection. Hours of operation are Monday - Friday 6:00am to 6:00pm.

This is a single-story home which consists of 3 bedrooms, 2 bathrooms, kitchen, living room, detached garage, front yard (fenced) and backyard (fenced). Per Licensee, areas off-limits to children and parents are the front yard (fenced), 3 bedrooms, bathroom located inside the bedroom facing the backyard, laundry room and backyard area located in the right side of the detached garage. LPA observed a gate making the area inaccessible to children in care. Per Licensee the two Chihuahuas dogs stay in the front yard (fenced).

Areas used by children include: Main house, kitchen, bathroom in the bedroom hallway, living room, backyard (fenced) and detached garage.

Areas off limits include: Bedrooms located in the main house, laundry room, front yard (fenced) and backyard area located in the right side of the detached garage.

All areas that are accessible to children were inspected for safety, comfort and cleanliness. Per Licensee, there are no firearms stored in the home and no one smokes. There are no fireplaces in the home. LPA observed ventilation units in the main house and the detached garage. LPA observed both units to be on and functioning. Licensee stated that she uses portable heaters. LPA observed the portable heaters and advised licensee to use heaters that are coll to the touch and that don’t radiate heat. There is a house phone and a cell phone available on the premises during operating hours. Detergents, cleaning compounds are under the kitchen sink.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2021
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 7
Document Has Been Signed on 06/17/2021 06:47 PM - It Cannot Be Edited


Created By: Elka Chavez On 06/17/2021 at 04:48 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RAMOS FAMILY CHILD CARE
FACILITY NUMBER: 198020241

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/18/2021
Section Cited
CCR
102421

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Child's Records
..This requirement was not met as evidenced by:
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Licensee stated that she will provide child's parent with admission packet. Licensee stated she will ensure that children's packet will be completed prior to admission to day care.
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LPA observed did not observe child's file for child #2. This poses a potential health and safety risk to children in care.
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Type B
06/18/2021
Section Cited
CCR102425(c)

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INFANT SAFE SLEE(c) An Individual Infant Sleeping Plan [LIC 9227 (3/20)] ....
This requirement was not met as evidenced by:
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Licensee stated that she will create a log and place it children's file.
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LPA did not observe an individual infant sleeping plan on file for child #2. This poses a potential health and safety risk to children in care.
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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:Karen Chambers
LICENSING EVALUATOR NAME:Elka Chavez
LICENSING EVALUATOR SIGNATURE:
DATE: 06/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/17/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/17/2021 06:47 PM - It Cannot Be Edited


Created By: Elka Chavez On 06/17/2021 at 05:51 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RAMOS FAMILY CHILD CARE
FACILITY NUMBER: 198020241

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/18/2021
Section Cited
CCR
102370(d)(1)

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Criminal Record Clearance ...
This requirement was not met as evidenced by:
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Licensee had assistant leave to go get finger print clerance. Licensee stated that she will have assistants get firnger print clearance prior to assisting with child care.
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LPA observed Maria Elena Ramos (assistant) did not have finger print clearance. This poses an immediate health and safety risk to children in care.
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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:Karen Chambers
LICENSING EVALUATOR NAME:Elka Chavez
LICENSING EVALUATOR SIGNATURE:
DATE: 06/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/17/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/17/2021 06:47 PM - It Cannot Be Edited


Created By: Elka Chavez On 06/17/2021 at 06:01 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RAMOS FAMILY CHILD CARE
FACILITY NUMBER: 198020241

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2021
Section Cited
CCR
102418(a)

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102418 Immunizations
Prior to admission to a family day care home, children shall be immunized against diseases...This requirement was not met as evidenced by:
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LIcensee stated that she will request forms from parent's again. Licensee stated that she will make sure to obtain immunization records prior to admission to day care.
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LPA did not observe child #1, #2, #3 and #4 immunization records. This poses a potential health and safety risk to children in care.
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Type B
06/18/2021
Section Cited
CCR102416.3(a)(6)

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102416.3 Alterations to Existing Buildings or Grounds Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.This requirement was not met as evidenced by:
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Licensee stated that she will submit a plan for use of detached garage to LPA by POC due date.
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LPA observed children in the off limit detached garage. This poses a potential health and safety risk to children in care.
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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:Karen Chambers
LICENSING EVALUATOR NAME:Elka Chavez
LICENSING EVALUATOR SIGNATURE:
DATE: 06/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/17/2021


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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMOS FAMILY CHILD CARE
FACILITY NUMBER: 198020241
VISIT DATE: 06/17/2021
NARRATIVE
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LPA observed a child safety latch making it inaccessible to children in care. The licensee states that there are no poisons in the home. The licensee does understand that poison must be locked with a key or combination lock. LPA did not observe any bodies of water in the premises.

LPA observed child number #1 sleeping in the detached garage. Licensee stated that children don’t nap in the detached garage and that child #1 had just fallen asleep. LPA observed Maria Elena Ramos (assistant) holding an infant. Licensee stated that today is Maria Elena Ramos first day as her assistant. LPA did observe finger print clearance, Mandated Reporting training or immunizations for Maria Elena Ramos (assistant). There were safe toys, play equipment and materials observed for children in the detached garage. LPA did not observe Emergency Disaster Plan posted or a disaster drill log. Licensee stated that she would put up the forms and send proof. The valve on the required 2A 10BC fire extinguisher located in the main house indicates it is not fully charged. Licensee stated that she purchased it in 2019. LPA did not observe a service tag. LPA observed a 5-BC fire extinguisher in the detached garage. LPA did not observe a service tag. The valve indicates fully charged. Smoke and carbon monoxide detector located in the bedrooms are in operable condition. LPA observed a functioning carbon monoxide detector and smoke detector in the detached garage. Pediatric First Aid and CPR was completed on 2/2021 expires on 02/2023. LPA did not observe a parent board in the facility. Licensee stated that she would put it up where parents can see it. A children's roster was available upon request. LPA did not observe child #2 on the roster, 2 children were missing dates of birth and 3 were missing physician name and phone number. LPA did not observe a children’s file for child number #2 or individual sleeping plan. At 3:25 pm LPA observed child #2 sleeping in a baby bouncer. LPA observed Jessica (assistant) sitting next to child #2. LPA observed children in the off limit detached garage. Licensee stated that she started using the detached garage for additional space to unsure 6 feet of distance.

COVID-19 Technical Assistance was provided during today’s inspection. LPA observed Covid-19 postings located in the bathroom in the detached garage. LPA did not observe Covid-19 posting the main house. LPA Chavez discussed protocols in place regarding COVID-19. Licensee stated protocol in place is not having parents fully enter the facility and sign-in/out will take place at the front entrance. Licensee understands that if a parent must enter the day care she will ask them to wash their hands, enter and exit the room one person at a time to allow for social and physical distancing and consider asking them to wear facial coverings. Take children’s temperature each morning with a no-touch thermometer. Licensee will evaluate children for any
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMOS FAMILY CHILD CARE
FACILITY NUMBER: 198020241
VISIT DATE: 06/17/2021
NARRATIVE
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symptoms such as fever, running nose, cough or child's behavior and will inform authorized representative child cannot stay if any symptoms related to COVID-19; or if symptoms appear during the day, Licensee will isolate the child and call authorized representative for immediate pick-up. Children will wash their hands during arrival, entering from outdoor play, meal times and from using the restroom. Infants and children under 2 years of age should not wear a mask. Children ages 2 to 8 can safely wear a mask with adult supervision. For napping Licensee will place cots, cribs, and mats 6 feet apart, with heads in opposite directions. LPA Chavez observed hand-washing posters posted in the restroom and it was stated that the Licensee is aware of cleaning, disinfecting, sanitizing and the importance of constant hand-washing.


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

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov. LPA reviewed Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome, and safe sleep practices with the Licensee. *Infants should always sleep on their backs, mouths facing up*. LPA advised the licensee to sleep infants where they can always be directly supervised. LPA also advised against sleeping infants in a separate room. https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep

The following was discussed: Individuals who are 18 years of age or older living in the home must obtain a criminal record clearance. Individuals within one month of their 18th birthday must be fingerprinted immediately. Failure to obtain a criminal record background check clearances prior to initial presence in the home will result in an immediate $100.00 dollar or more per day Civil Penalty.

No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMOS FAMILY CHILD CARE
FACILITY NUMBER: 198020241
VISIT DATE: 06/17/2021
NARRATIVE
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Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

The following deficiency listed on the attached LIC 809D is being cited in accordance with California Code of Regulations Title 22.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Aida Ramos, Licensee. The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
LIC809 (FAS) - (06/04)
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