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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274450019
Report Date: 09/25/2024
Date Signed: 09/25/2024 06:02:22 PM

Document Has Been Signed on 09/25/2024 06:02 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:RAMIREZ, OLGAFACILITY NUMBER:
274450019
ADMINISTRATOR/
DIRECTOR:
OLGA RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 761-3248
CITY:ROYAL OAKSSTATE: CAZIP CODE:
95076
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
09/25/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:39 PM
MET WITH:Olga RamirezTIME VISIT/
INSPECTION COMPLETED:
06:15 PM
NARRATIVE
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On 09/25 at 2:40 PM, Licensing Program Analyst (LPA) Teodoro Trujillo conducted an unannounced plan of correction visit. LPA met with Licensee, Olga Ramirez and explained the nature of today's visit to her. Present with licensee were 11 day care children (4 school age, 2 infants, 5 preschoolers) and adult male resident who does not assist. Licensee was over capacity. Licensee sent her adult resident to pick up her assistant Esperanza. Esperanza arrived within a hour during site visit to help Olga comply with deficiencies. Olga continues to use unsafe practices, upon arrival LPA also observed a 12 inch kitchen knife, accessible to children on top of the kitchen counter. LPA also observed Child 2 (C2) in a crib with a loose blanket while children were napping.

Olga was cited on August 26, 2024 and was provided with Plan Of Correction letters for cleared deficiencies. LPA translated this report to Licensee Olga in Spanish and provided her with her appeal rights in Spanish.

Type A Deficiencies were cited today. Licensee was informed that failure to correct the deficiencies by the specified Plan of Correction Due Date will result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

LPA Teodoro Trujillo informed licensee Olga Ramirez that this report dated 09/25/2024 document(s) 3 (three) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
Also, LPA Teodoro Trujillo informed the licensee Olga Ramirez to provide a copy of this licensing report dated 09/25/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

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.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Teodoro Trujillo
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
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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Document Has Been Signed on 09/25/2024 06:02 PM - It Cannot Be Edited


Created By: Teodoro Trujillo On 09/25/2024 at 05:01 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: RAMIREZ, OLGA

FACILITY NUMBER: 274450019

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/26/2024
Section Cited
CCR
102417(g)(4)

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Operation of a Family Child Care Home
(g)The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to:
(4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children
This requirement is not met as evidenced by:
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Licensee immediately removed and placed kitchen knife on the top kithen cabinet, making it innacesible to children in care. Deficency cleared during site visit.
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Based on observation, interview, record review, the licensee did not comply with the section cited above in a 12 inch kitchen knife was accessible on the top kitchen counter, which poses an immediate health, safety or personal rights risk to persons in care.
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Licensee will also submit a written plan to be in compliance to the San Jose Regional Office by close of business 09/26/24.
Type A
09/26/2024
Section Cited
CCR102416.5(a)(b)(3)

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Staffing Ratio and Capacity
(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

(b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following:
(3) More than six and up to eight children, without an additional adult attendant, only if the criteria in Section 1597.44 of the Health
and Safety Code are met.
This requirement is not met as evidenced by:
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Licensee contacted and brought her assistant to be in compliance during site visit today, Licensee will also submit a written plan to keep
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Based on observation, interview, record review, the licensee did not comply with the section cited above in Licensee did not have an assistant present and had 11 children in care during site visit, which poses an immediate health, safety or personal rights risk to persons in care.
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the deficency from repeating, by close of business 09/26/25, to the San Jose Regional Office
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:Susy Cervantes
LICENSING EVALUATOR NAME:Teodoro Trujillo
LICENSING EVALUATOR SIGNATURE:
DATE: 09/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/25/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/25/2024 06:02 PM - It Cannot Be Edited


Created By: Teodoro Trujillo On 09/25/2024 at 05:10 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: RAMIREZ, OLGA

FACILITY NUMBER: 274450019

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/26/2024
Section Cited
CCR
102425(b)

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) Infant Safe Sleep
(b) Cribs or play yards shall be free from all loose articles and objects.
This requirement is not met as evidenced by:
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Licensee immediately remove C2 from the crib during site visit, Licensee will submit a written statement of her understanding of CCR 102425
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Based on observation, interview, record review, the licensee did not comply with the section cited above in, Child 2 was inside the infant crib during nap time with a loose blanket, which poses an immediate health, safety or personal rights risk to persons in care.
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and efforts to be keep deficiency from repeating by close of business, 09/26/25 to the San Jose Regional Office.

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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:Susy Cervantes
LICENSING EVALUATOR NAME:Teodoro Trujillo
LICENSING EVALUATOR SIGNATURE:
DATE: 09/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/25/2024


LIC809 (FAS) - (06/04)
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