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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566206849
Report Date: 07/29/2024
Date Signed: 07/29/2024 01:46:28 PM

Document Has Been Signed on 07/29/2024 01:46 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
566206849
ADMINISTRATOR/
DIRECTOR:		RAMIREZ, MARCELINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 382-9359
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
07/29/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:40 PM
MET WITH:Marcelina RamirezTIME VISIT/
INSPECTION COMPLETED:
01:59 PM
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On 07/29/2024 unannounced Case Management inspection was conducted by Licensing Program Analysts (LPAs) German Negrete who met with Licensee. LPA toured the facility with Licensee. LPA observed Licensee supervising three children.

The purpose for this inspection is to provide the Licensee a copy of an Accusation for case CDSS No. 7924141002 indicating that Jose Ramirez(respondent) has been prohibited from employment in, presence in and contact with clients of any facility licensed by the department or certified by a licensed family child care home or any resource family home and from holding a position of member of the board of directors, executive directors or officer of the licensee of any facility licensed by the department for the remainder of respondents life.

LPA conducted a complete tour of the interior and exterior of the home and did not observe respondent in the facility. Licensee stated that respondent is not employed at this facility.

A copy of the Accusation Summary indicating the Departments decision and summary of factual allegations pertaining to the respondents actions. These findings give the departments Cause for Exclusion. A copy of this accusation shall be provided to the parent/guardian of any currently enrolled child by the next business day or immediately Continued on 809-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RAMIREZ FAMILY CHILD CARE
FACILITY NUMBER: 566206849
VISIT DATE: 07/29/2024
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upon return as well as the parent/guardian of any enrolled child until the accusation is either dismissed or resolved through the administrative hearing or stipulated agreement. The following documentation was provided and explained:

· Accusation


· Acknowledgement of Receipt of Licensing Reports (LIC 9224)
· A copy of the Appeal Rights (LIC 9058 FAS 01/16) were given and explained.
· Licensee signature on this form acknowledging receipt of these rights.

Exit interview conducted with Licensee Macelina Ramirez.

Notice of Site Visit (LIC9213) has been posted.



The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2024
LIC809 (FAS) - (06/04)
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