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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274409942
Report Date: 06/08/2022
Date Signed: 06/08/2022 10:14:29 AM

Document Has Been Signed on 06/08/2022 10:14 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ANAYA, RAMONAFACILITY NUMBER:
274409942
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
06/08/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Ramona AnayaTIME COMPLETED:
10:20 AM
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 06/08/2022 at 09:45 AM, Licensing Program Analyst (LPA) Susy Cervantes met with licensee, Ramona Anaya for a case management to increase capacity. Present were licensee with four children in care: 2 preschool and 2 school age. Previous to today's visit, LPA received a Fire Clearance from the North County Fire Protection District of Monterey, inspection was conducted on 05/25/2022.

An annual inspection was conducted on 02/02/2022 and no deficiencies were cited during the visit. LPA observed a fire pull station near the main entrance and inspected the second exit for the home. LPA observed a 3A40BC fire extinguisher that was serviced on 04/22/2022, smoke detector and carbon monoxide detectors were operable. Licensee has current CPR and first aid that expires on 03/28/2023. Mandated Reporter training is current and was taken on 02/19/2021. LPA observed no fireplace, no stairs, no wall heater and no bodies of water. Licensee stated there are no weapons and there is a pet that is vaccinated. LPA reviewed the requirements stated on the fire clearance with licensee, Ramona Anaya, including that the garage, master bedroom, bedroom 1, bedroom 3, and storage shed are not approved for use. LPA reviewed with licensee their ratio/capacity for a large FCCH as well as assistant requirement.

No deficiencies were cited during today's visit. Exit interview was conducted and report was reviewed in Spanish with Licensee, Ramona Anaya. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. A notice of site visit was given and must remain posted for 30 days.

LPA informed licensee that an increase of capacity to a large family child care home is approved pending the following:

-Management's approval

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Susy Cervantes
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2022
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 1