Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016669
Report Date: 02/11/2019
Date Signed 02/11/2019 02:34:13 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:RAMSEY-RAY FAMILY CHILD CAREFACILITY NUMBER:
198016669
ADMINISTRATOR:RAMSEY-RAY,KIKANZA & GEOFFFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 296-6901
CITY:ALTADENASTATE: CAZIP CODE:
91101
CAPACITY:14CENSUS: 12DATE:
02/11/2019
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Kikanza Ramsey- Ray
Geoff Ramsey- Ray
TIME COMPLETED:
02:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Crystal Green conducted an unannounced 3 year required inspection to the above facility. LPA met with Kikanza Ramsey- Ray and Geoff Ramsey- Ray, Licensees who guided analyst on a tour of the facility. Also present during this inspection, was Christine Martinez, Licensee’s Assistant. Per Licensee, there are 20 children that are currently enrolled (some on a part-time basis). A current children’s roster was available for review. There were 12 children present upon arrival.

This is a one story home which consists of 3 bedrooms, 3 bathrooms, den/activity room, kitchen, dining room, living room, front yard and backyard (fenced). The children use the den/activity room, outside patio, 1 bathroom and backyard (fenced). LPA observed that there are two backyards available at the licensee residence, one accessible to the children through the outside patio area and a second backyard which is separated by a six foot high wooden fence. LPA also observed an above ground pool located in the off-limit back yard of the home. LPA observed that the pool is inaccessible to both children and parents, per Licensee, an individual would have to go through 3 separate doors in the off-limit area and a security gate surrounding the pool to have accessible to the pool. Areas off limits to children and parents include: 3 bedrooms, 2 bathrooms, kitchen, dining room, living room, front yard and backyard (located directly behind the residence). The licensee provides food for children in care.

The licensee states that 3 adults and 2 children currently live in the home. Per Licensee, she currently has one assistant. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed child care home. Licensee states that there are no firearms stored in the home.

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 and a cellphone that is used, and the cellphone stays at the facility during operation hours. There is ventilation and heating (central). The following was observed and reviewed during this inspection.
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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2019
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMSEY-RAY FAMILY CHILD CARE
FACILITY NUMBER: 198016669
VISIT DATE: 02/11/2019
NARRATIVE
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Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock. The restroom that children use was observed to be safe and sanitary.

LPA did not observe any fireplace or open-faced heater accessible to children. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was purchased on 06/21/2018. Smoke and carbon monoxide detectors were tested and are operable.

The home is observed to be clean and orderly. There are toys available for children. Appropriate sleeping arrangements and cribs were observed.

Currently, children are using the back yard for outdoor play time. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that can pose a danger to children on the outdoor yard. The licensee states that supervision is always provided. The licensee is observed to be operating within the license capacity limitations.

The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. Both licensee's Pediatric First Aid and CPR expires on 12/2018 (See 809D). There are first aid supplies available.

Children’s records were reviewed, including emergency information and were observed to be complete.

LPA observed that both Licensee’s and assistant do not have proof of immunization record and the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. (See 809D)


LPA issued a Confidential Names List (LIC 811) to the licensee which documents staff and children’s files reviewed during this inspection.
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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2019
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: RAMSEY-RAY FAMILY CHILD CARE
FACILITY NUMBER: 198016669
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/22/2019
Section Cited
HSC
1596.866
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CPR expired.

This requirement was not met as evidence by both licensee's Pediatric First Aid and CPR expires on 12/2018. This poses an potential risk to the health and safety of children in care.
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Per Licensee, will update CPR and maintain a copy on file. A copy of the updated CPR cards will be submitted to LPA by POC due date of 02/22/2019.
Type B
02/22/2019
Section Cited
HSC
1597.622
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Immunization records missing.

This requirement was not met as evidence by both licensee’s and assistant do not have proof of immunization against influenza, pertussis, and measles. This poses an potential risk to the health and safety of children in care.
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Per Licensee, will obtain proof of immunizations and maintain a copy on file. A copy of the immunization record will be submitted to LPA by POC due date of 02/22/2019.
Type B
02/22/2019
Section Cited
HSC
1596.8662
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Mandated Reporter Training

This requirement was not met as evidence by both licensee's and assistant do not have the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. This poses an potential risk to the health and safety of children in care.
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Per Licensee, will complete and obtain the Mandated Reporter Training Certificate and maintain a copy on file. A copy of the certificate will be submitted to LPA by POC due date of 02/22/2019.
www.mandatedreporterca.com
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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: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMSEY-RAY FAMILY CHILD CARE
FACILITY NUMBER: 198016669
VISIT DATE: 02/11/2019
NARRATIVE
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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 01/14/19.

Licensee has two dogs that are kept in the front yard and in the off-limit areas of the home during operating hours. LPA observed the licensee to have eleven chickens secured in the outdoor cage area and two rabbits also secured in their own cage located in the backyard area. LPA observed these cages to be locked and inaccessible to children in care.

Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted.

LPA 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.

Licensee states that she is not currently caring for infants.


Incidental Medical Services (IMS):
This facility provides Incidental Medical Services- IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

LPA advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.
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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: RAMSEY-RAY FAMILY CHILD CARE
FACILITY NUMBER: 198016669
VISIT DATE: 02/11/2019
NARRATIVE
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Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809 (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 & safety.

The Notice of Site Visit (LIC 9213)must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Geoff Ramsey- Ray, Licensee, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.
REPORT END - 4 of 4




SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2019
LIC809 (FAS) - (06/04)
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