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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216471
Report Date: 02/15/2023
Date Signed: 02/17/2023 08:01:00 AM

Document Has Been Signed on 02/17/2023 08:01 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 FAMILY CHILD CAREFACILITY NUMBER:
426216471
ADMINISTRATOR:DANYELA RAMIREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 315-4555
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/15/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Danyela RamirezTIME COMPLETED:
04:20 PM
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On 2/15/23 at 1:50 PM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced Prelicensing Inspection of the abovementioned home and met with Applicant, Danyela Ramirez. LPA informed Applicant of the nature and purpose of the inspection. LPA notes there are no children on site at the time of the inspection. Applicant informed LPA of the intention to maintain operating hours of a Family Child Care Home (FCCH) from, Monday- Friday from 7:30 AM to 5:30PM. The Applicant also Informed LPA of the intention to provide care for children birth to 12 years of age.

LPA toured the interior and exterior of the home with the Applicant. This is a single level home that is divided into two living spaces. The applicant lives in the front portion of the home that consists of two (2) bedroom, one (1) bathroom, living room, kitchen/dining area, garage, and outdoor yard. The second living area is the back of the home that is separated by a locked door. The back of the home consists of two (2) bedrooms, one (1) bathroom, living room, kitchen, and outdoor yard. Applicant will be using the living room, dining/kitchen, and one (1) bathroom. Meanwhile two (2) bedrooms, garage and outdoor yard will be inaccessible to children in care. In addition, the entire back home and outdoor yard will be inaccessible to children in care. LPA observed two (2) bedrooms are made inaccessible by means of door safety knobs.

The FCCH has ample spacing and ventilation for children in care. LPA observed plenty of napping equipment and items for children in care. The restroom to be used for children care is observed to be clean and free of toxins. LPA observed sharps are stored in an elevated cabinet in the kitchen that is inaccessible to children in care. Cleaning compounds were observed in another elevated cabinet in the kitchen that is inaccessible to children in care. Medication in the home is stored in the bedrooms, which are also inaccessible to children in care.

LPA observed a required fire extinguisher 2A10BC in the home which was purchased on 11/25/22. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2023
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 FAMILY CHILD CARE
FACILITY NUMBER: 426216471
VISIT DATE: 02/15/2023
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LPA reminded Applicant of the responsibility to service or purchase a regulation fire extinguisher annually. The home has smoke and carbon monoxide detectors which were tested at 2:44 PM and found to be operable.

LPA observe the outdoor yard to be completely fenced. Per Applicant, children will not have access to the outdoor for the moment. LPA observed that the Applicant outdoor yard is separated from the backyard that belongs to the back home. Applicant reports that she would like to make changes to the outdoors before it is accessible to children in care. LPA advised Applicant to notify the department and submit updated facility sketch prior to making changes to the outdoor yard. Once the yard is ready, Applicant understands that an inspection will take place prior to adding the outdoor yard as an area that is accessible. LPA notes no bodies of water were observed. Per Applicant there are no guns or ammo in the home.

LPA record review revealed Applicant completed Preventative Health training on 09/22/22. Further, Applicant completed Mandated Reporter training on 10/3/22, and Pediatric CPR/First Aid (EMSA approved) on 08/13/22. FCCH orientation was completed on 5/2/22. LPA reminded Applicant of obligation to maintain current training and certifications. LPA reviewed Applicant's control of property document (Mortgage deed). Applicant does not have liability insurance for the home as of yet. LPA provided Applicant with Affidavit Regarding Liability Insurance form (LIC 282). Applicant received fire clearance for a large license from Santa Maria Fire Department on 02/15/23.



LPA reviewed with Applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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 licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
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 FAMILY CHILD CARE
FACILITY NUMBER: 426216471
VISIT DATE: 02/15/2023
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LPA also informed Applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview was conducted with Applicant, Danyela Ramirez. The home meets Title 22 of CCR requirements for a Large Family Child Care license effective today. Effective date of license is today February 15, 2023. Applicant was provided with Notice of Site Visit which must remain posted for the next 30 days.


SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
LIC809 (FAS) - (06/04)
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