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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566206849
Report Date: 09/19/2024
Date Signed: 09/19/2024 10:07:01 AM

Document Has Been Signed on 09/19/2024 10:07 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
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: 1DATE:
09/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Marcelina RamirezTIME VISIT/
INSPECTION COMPLETED:
10:20 AM
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Follow-up visit form 7/29/24

On September 19, 2024, Licensing Program Analysts (LPAs) Veronica Diaz and Shane Loftus conducted an unannounced Case Management inspection to deliver Default Decision and Order- CDSS No. 7924141002 in the matter of Jose Ramirez. LPAs met with Licensee, Marcelina Ramirez, and explained the purpose of the inspection. LPAs notes 1 infant are in care at the time of the inspection.

The Decision and Order details the exclusion of Jose Ramirez, licensee’s son, ordered on September 13, 2024, and effective as of September 23, 2024. Further, the Decision and Order notes Jose Ramirez’s ability to request to set aside default. The Licensee was provided a copy of the aforementioned.

LPA toured the facility in the company of the Licensee. LPAs did not observe Jose Ramirez on site. Licensee indicated Jose Ramirez has not lived in the Family Child Care Home for about 15 years.

No deficiency was cited today. A Notice of Site Visit (LIC 9213) was issued and must be posted for 30 days or a civil penalty may apply. Appeal Right (LIC 9058) were given.

Exit interview was conducted and report was reviewed with Licensee, Marcelina Ramirez.

SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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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