Routine inspection·August 2, 2022

At 1:15 pm Licensing Program Analysts (LPAs) Veronica Martinez- Garza and Roxana Lopez conducted an unannounced required 1-year inspection to the above facility. A risk assessment was conducted upon entry- appropriate PPE was used. LPAs met with Maria Remedios Ramirez, Licensee who guided analysts on a tour of the facility. Per Licensee, there are currently 11 children enrolled. A current children’s roster was available for review. There were 9 children present upon arrival- 1 being an infant. Also present during inspection was assistant Maria Lopez. The licensee states that 1 adult and 1 minor currently live in the home. Per Licensee, they currently have 3 assistants. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed childcare home. Licensee states that there are no firearms stored in the home. This is a one-story home which consists of 2 bedrooms, 2 restrooms, living room, kitchen, day care room, garage, front and backyard (fenced). The children have access to living room, day care room, 1 restroom located in the hallway and backyard. Per licensee, areas off limits to children and parents include 2 bedrooms, 1 restroom, front yard, and garage. The LPAs toured all areas used by children during this visit. LPAs observed all off limit areas to be locked. ---------------------------------------------------------- pg. 1 of 5 ------------------------------------------- All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via a landline. There is ventilation and heating (central). The following was observed and reviewed during this inspection. Detergents, cleaning compounds, and medications were observed to be inaccessible to children. Per licensee there are no poisons in the home. The restroom that children use was observed to be safe and sanitary. LPAs did observe a fireplace in the living room which was barricaded and inaccessible for children in care. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 06/10/22, as indicated on service tag. Smoke and carbon monoxide detectors were tested and are operable. All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. Last drill documented was conducted on 7/28/22 Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted in the day care room. The home is observed to be clean and orderly. There are toys available for children. Appropriate sleeping arrangements in form of cots and cribs were observed . Licensee states that they are currently caring for infants. LPAs discussed the safe sleep regulations with licensee Maria Remedios Ramirez 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. ---------------------------------------------------pg.2 of 5 ----------------------------------------- LPAs also informed licensee Maria Remedios Ramirez 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 . LPAs did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that fall into these categories are not permitted in a family child care facility. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home. Currently, children are using the back yard for outdoor play time. The outdoor play area was observed to be fenced. LPAs observed that the outdoor yard has toys and other materials for children to play with. LPAs did not observe any objects that can pose a danger to children on the outdoor yard. Per Licensee, there are no pets on the premises. The licensee is observed to be operating within the license capacity limitations. Children’s records were reviewed, including emergency information and were observed to be complete. At 2:30 pm LPAs observed that C3, C7 and C10 are missing the LIC 995A The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 08/14/23. There are first aid supplies available. ---------------------------------------------- pg 3 of 5 --------------------------------------------- LPAs observed that the Licensee and assistant do have proof of immunization record. Licensee, Maria Remedios Ramirez and 3 assistants have the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. LPAs issued a copy of the LIC 857 Children’s Records Review and the LIC859 Staff Records Review to the licensee during this inspection. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm LPAs advised the licensee to access forms, regulations and quarterly updates online at: www.ccld.ca.gov . Licensee, Maria Remedios Ramirez was reminded that all adults 18 and over living or working in the home, 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. ----------------------------------------------- pg. 4 of 5 ------------------------------------------------------- To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process . Based on the LPAs observations and records review, the following deficiency listed on the attached LIC 809D Maria Remedios Ramirez (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with Licensee, Maria Remedios Ramirez. ----------------------------------------------- pg. 5 of 5 -------------------------------------------------------