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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844898
Report Date: 11/21/2023
Date Signed: 11/21/2023 02:15:06 PM

Document Has Been Signed on 11/21/2023 02:15 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
364844898
ADMINISTRATOR:STEPHANIE RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 206-3149
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
11/21/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:38 PM
MET WITH:Stephanie RamirezTIME COMPLETED:
02:23 PM
NARRATIVE
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On 11/21/2023 at 01:38 PM, Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conduct a Plan of Correction (POC) visit to follow up on a deficiency that was cited during the annual inspection that was conducted on 09/29/2023. LPA toured the facility, took census and met with the licensee.

LPA confirmed during today's visit that the following deficiency was not corrected:



1.) Enrollment/completion of a EMSA approved CPR & 1st Aid training course

The licensee stated that she was unable to correct the above violation due to not being able to find a CPR & 1st Aid class. LPA printed licensee a copy of current EMSA approved CPR & 1st Aid program providers. LPA also recommended licensee to contact Child Care Resource Center (CRC), should she need further assistance in finding a EMSA approved CPR & 1st Aid training course. LPA informed the licensee that the facility is not in compliance with title 22 regulations.

A citation and civil penalty for a repeat violation have been assessed. See LIC 809-D.

Exit interview was conducted with Licensee, a copy of this report has been reviewed and provided with the licensee. Appeal rights were discussed and given. A notice of site visit was given and must remain posted in a prominent place for 30 consecutive days. Failure to comply with posting requirements will result in a civil penalty of $100.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2023
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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Document Has Been Signed on 11/21/2023 02:15 PM - It Cannot Be Edited


Created By: Raymond Moorehead On 11/21/2023 at 01:49 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 364844898

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/28/2023
Section Cited
CCR
102416(c)

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(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
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Licensee agrees to enroll in a EMSA approved CPR & 1st Aid training class, and submit proof of enollment to LPA by 11/28/2023, via email: Raymond.Moorehead@dss.ca.gov. Licensee also agrees to submit proof of completion to LPA once the course is completed.
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This requirement is not met as evidenced by:
Based on record review, the licensee did not comply with the section cited above which poses a potential safety risk to persons in care. Licensee and assistant's CPR & 1st Aid training certificate expired on 08/21/2022.
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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:Aaron Ross
LICENSING EVALUATOR NAME:Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:
DATE: 11/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2023


LIC809 (FAS) - (06/04)
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