<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216408
Report Date: 12/28/2022
Date Signed: 12/28/2022 12:16:52 PM

Document Has Been Signed on 12/28/2022 12:16 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:RAMIREZ FCC AKA SUN COAST KIDSFACILITY NUMBER:
406216408
ADMINISTRATOR:LISBETH RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 904-3569
CITY:GROVER BEACHSTATE: CAZIP CODE:
93433
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
12/28/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:46 AM
MET WITH:Lisbeth RanirezTIME COMPLETED:
12:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 12/28/22, at 11:46 AM, Licensing Program Analyst (LPA) Elvin Baddley made an unannounced inspection to address an Unusual Incident Report (UIR). Specifically, LPA was informed a kitten (4 month-Kimchee) bite/scratched a child in care, herein C1 on 12/27/22. LPA observed four children in care at the time of the inspection

LPA notes while on site, LPA observed San Luis Obispo Animal Services Division personnel inspect the kitten and inform the LIcensee the kitten would need to be placed in a quarantine status until 1/6/22. During the noted quarantine period the kitten is to be isolated in a bedroom excluded from care and have no contact with children in care. Upon leaving the residence, San Luis Obispo Animal Services Division personnel placed a (red) Quarantine Notice just outside of the residence entry door.

Licensee informed LPA C1 was scratched on the cheek yesterday as opposed to bitten. Licensee stated the scratch appeared liner and looked nothing like a bite. Licensee informed the parent of C1 of the incident when C1 was picked up from the FCCH yesterday evening (3:00 PM). Licensee also informed LPA the parent of C1 establish contacted later in the evening and state the scratch had swelled and expanded. Parent of C1 informed LIcensee parent would seek medical attention for the child given the aforementioned. Licensee notes the C1 is expected back in care tomorrow, LIcensee informed LPA parent of C1 was aware of cats (2) being on site prior to the admission of C1 in the FCCH. Licensee submitted a LIC 624 capturing the incident.

Licensee informed LPA kitten will now remain in an excluded area of the FCCH when children are in care. Licensee plans to amend admission agreement to note cats are on site.

No deficiencies cited during today's visit.

A Notice of Site Visit (LIC 9213) along with Appeal Rights (LIC 9058) was provided to Licensee at the conclusion of the inspection. LPA notes, the Licensee was informed to ensure Notice of Site Visit is posted for 30 days or a $100 civil penalty may be assessed.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 12/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/28/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1