Irma Diaz Ramos

• Non-critical Primary Caregiver Annual Training - More Than 5 Years Experience
  Inspector's note: Annual training for 2023-2024 was missing one hour of management, emergency preparedness plan, the spread of communicable diseases. Risk level: Low. Corrected by 2025-08-27.
• Non-critical Written Feeding Instructions - Review and Update Every 30 Days
  Inspector's note: A feeding schedule was not available for review for a child bottle feeding. Risk level: Medium. Corrected by 2025-08-20.
• Non-critical Written Operational Policies - Promotion of Physical Activity
  Inspector's note: The operational policy was missing a written statement regards to promoting indoor/outdoor activities with the duration, clothing/footwear and a plan if weather permits. Risk level: Medium. Corrected by 2025-08-20.
• Critical Diapering Procedures- Sanitizing the Diapering Area
  Inspector's note: After changing a child on the changing table it wasn't sanitized before placing another child on the changing table. NOTE: This was corrected at inspection when the changing table was sanitized. Risk level: Medium High. Corrected during the inspection.

No infractions recorded at this inspection.

• Critical Child/ Caregiver Ratio - Registered Child Care Home
  Inspector's note: At time of inspection operation had seven children, One child was under seventeen months and the other six children were under five years old. Ratio requires five children under five years old with one child seventeen months or younger. Risk level: Medium High. Corrected by 2023-08-28.

• Critical Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible
  Inspector's note: At time of inspection an outdoor mosquito spray was observed at children's reach. This was corrected at inspection. Risk level: Medium High. Corrected by 2023-08-15.
• Critical Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
  Inspector's note: At time of inspection primary caregivers CPR/First Aid certification was not current. Risk level: Medium High. Corrected by 2023-08-31.
• Critical Written Operational Policies - Safe Sleep for Infants
  Inspector's note: During inspection parent handbook did not have safe sleep policies included. Risk level: Medium High. Corrected by 2023-08-18.
• Critical Sanitation of Building, Grounds and Equipment
  Inspector's note: At time of inspection, an outdoor play house was observed to have a hole in its floor. Risk level: Medium High. Corrected by 2023-08-31.
• Critical Required Admission Information-Completed Food Allergy Emergency Plan
  Inspector's note: A child file stated child had food allergy, no emergency plan was available during inspection. Risk level: Medium High. Corrected by 2023-08-18.