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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009466
Report Date: 10/18/2021
Date Signed: 10/18/2021 11:00:58 AM

Document Has Been Signed on 10/18/2021 11:00 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,
, CA
FACILITY NAME:DI RAMOS, RASSEL FCCHFACILITY NUMBER:
283009466
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
10/18/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Rassel Di Ramos, LicenseeTIME COMPLETED:
11:15 AM
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A Required- 1 year inspection was made to the facility by Licensing Program Analyst (LPA) Kevin O'Connell. A review of staff records on 10/18/21 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Currently there are currently two adults living in the home. During today’s inspection the home and grounds were toured.
The licensee was supervising seven children and operating within the licensed capacity and ratio requirements.
No children were observed left in any parked vehicle. The facility’s operating hours are Monday - Friday; 07:30am - 05:30pm.
The off-limits areas were inaccessible. There is a baby gate at the base of the stairs to prevent access to the second story. The garage was inaccessible by way of a door lock. Other doors had handle cover/ latches on them. The fireplace is barricaded with wood and colored paper.
The back yard is fully fenced and used for outdoor play.
The Licensee states that there are no pools, spas, hot tubs or bodies of water and none were observed.
The home was clean and was at a comfortable indoor temperature. There were safe toys and equipment available for children. There is a working telephone in the home. The Licensee has current pediatric CPR and First Aid certifications which expires 10/23. Items which could pose a danger to children (detergents, cleaning compounds, medications, etc.) were stored out of the reach of children.
Licensee states that there are no poisons but knows that they are to be key or combination locked. LPA observed a working smoke detector, carbon monoxide detector and charged fire extinguisher, rated at least 2A10BC, in the home. Licensee states that there are no firearms or dangerous weapons and none were observed.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2021
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
CCLD Regional Office,
, CA
FACILITY NAME: DI RAMOS, RASSEL FCCH
FACILITY NUMBER: 283009466
VISIT DATE: 10/18/2021
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One staff file was reviewed at 10:15am for Mandated Reporter Certificate and immunizations. Eight children's records were reviewed at 10:25am; required emergency information cards were observed to be on file. No children need or are receiving Incidental Medical Services at this time.
The following information regarding ADA was provided: US Department of Justice 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, www.ada.gov/childqanda.htm. This report was reviewed and discussed with the licensee.
All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2021
LIC809 (FAS) - (06/04)
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