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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216408
Report Date: 01/25/2023
Date Signed: 01/25/2023 10:09:44 AM

Document Has Been Signed on 01/25/2023 10:09 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, 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: DATE:
01/25/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Lizbeth RamirezTIME COMPLETED:
10:15 AM
NARRATIVE
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On 1/25/22, at 9:45AM Licensing Program Analysts (LPAs) Elvin Baddley and Francisca Velazquez, conducted an unannounced Case Management Inspection (Deficiencies) at the abovementioned Family Child Care Home (FCCH). Specifically, CCLD received supplemental information related to a household cat biting and scratching a child (C1) in care at the FCCH on or about 12/26/22. Additionally, The Licensee has failed to have an individual in the home, reportedly the Licensee's partner (A1) criminally cleared.

LPAs met with Lizbeth Ramirez, Licensee of the FCCH and explained the nature and purpose of the inspection. LPAs toured the interior and exterior of the FCCH and note no children are in care.

LPAs discussed the incident relating to the household cat bitting and scratching C1 at the FCCH. As previously noted during a 12/28/22 inspection, the Licensee theorized C1 was scratched after trying to touch or grab the cat. LPAs discussed the supplemental information received by the Department and how such information outlined the incident in a manner where sufficient supervision of C1 was lacking and a safe and healthful accommodations was not maintained. .

LPAs also discussed the presence of A1 at the FCCH. It should be noted the Licensee previously note A1 was a service person cleaning a vehicle in the FCCH's garage area when LPA Baddley asked about A1's identity during a 12/28/22, Case Management inspection. LPAs discussed the supplemental information received by the Department which indicated A1's presence at the FCCH is regular and simply not a service person on site, rather a partner of the Licensee.

LPAs reaffirmed all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a FCCH. Additionally, LPAs reaffirmed Licensee shall ensure that children in care are supervised at all times and safe and healthful accommodations are maintained.
(CONT. 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 KIDS
FACILITY NUMBER: 406216408
VISIT DATE: 01/25/2023
NARRATIVE
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Today, Type A deficiencies are cited under Title 22 Division 12 Appeal rights given. Upon receipt of this report, Licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy

A closing interview was conducted with Licensee and a Plan of Correction was discussed. Licensee was provided and advised of Appeal Rights. Licensee's signature at the bottom of this report acknowledges Licensee received the reports and understand their rights.

The Notice of Site Visit was also provided to the Licensee as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/25/2023 10:09 AM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Elvin Baddley On 01/25/2023 at 06:00 AM
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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAMIREZ FCC AKA SUN COAST KIDS
FACILITY NUMBER: 406216408

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
01/26/2023
Section Cited
CCR
102423(a)(2)

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102423 Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee...To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.This requirement was not met as evidenced by: Based on LPA observations
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Licensee will submit a written plan of correction stating measures to be taken in order to be in compliance with Title 22 Regul. & ensure safe accomendations for children in care. Plan will be sent by either fax (805) 685-1820 or email to [email protected] 1/26/22
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record review and interview, Licensee failed to provide C1 a safe accomedations as C1 was bitten and scratched by household cat about the facail area, the fingers, and rear of arm.This poses an immediate risk to health, safety or personnel rights of persons in care.
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Under Appeal
Type A
01/26/2023
Section Cited
CCR102370(d)(1)

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102370(d)(1) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility...This requirement was not met as evidenced by: Based on LPA observations, record reviews and interviews
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A1 not to be present at the facility until criminally cleared and associated to the FCCH. Licensee will submit a written plan of correction stating measures to be taken in order to be in compliance with Title 22 Regul. & ensure safe accomendations for children in care.
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The Licensee failed to obtain criminal record clearance for A1 and permitted A1 to reside at the facility and/or have contact with the day-care children for an unknown period. .
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Plan will be sent by either fax (805) 685-1820 or email to [email protected] 1/26/22An immediate civil penalty is assessed in the amount of $500 for failure to have all adults residing in the home undergo a cirminal background clearance.
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:Maria Mueller
LICENSING EVALUATOR NAME:Elvin Baddley
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023


LIC809 (FAS) - (06/04)
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