214005157-3-11-2024-05-CC-HLEG-D39RZZ-20240311132846

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 214005157
Report Date: 03/11/2024
Date Signed: 03/11/2024 01:28:54 PM

Document Has Been Signed on 03/11/2024 01:28 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	RIBEIRO, KARINA M. & BUENROSTRO, MARIA C.		FACILITY NUMBER:	214005157
ADMINISTRATOR:	RIBEIRO, KARINA M		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 246-1409
CITY:	SAN RAFAEL	STATE: CA	ZIP CODE:	94903
CAPACITY:	14	CENSUS: 9	DATE:	03/11/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	11:57 AM
MET WITH:	Maria Buenrostro		TIME COMPLETED:	01:43 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On March 11, 2024, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced required visit to the Family Childcare Home listed above. During today’s visit, the LPA met the Licensee, Maria Buenrostro. During today’s visit, the second licensee was not present at home. The licensee was informed of the reason for today's visit by the LPA. During today's visit, two infants and seven preschool-aged children were present in the home. Present in the home with fingerprint clearance included the licensee and the licensee’s assistant. The home operates within its capacity and in accordance with the required ratio of staff to children. Daycare areas: The playroom, Sleep area, Backyard, Bathroom #1, Bedroom #1, and Bedroom #2 are used for napping only. Off-limit areas: Kitchen, Bedroom #3, Master bathroom, and Living area. All off-limit areas are secured with a locked door or a safety gate. The licensee understands that off-limits areas may not be used for childcare during business hours. The LPA and the licensee conducted an inspection to identify any potential health and safety hazards. The daycare provides toys and equipment for children of the appropriate age range. During the inspection, the LPA observed that the playground equipment and outdoor furnishings appear to be in excellent condition. The home has adequate lighting and ventilation and is free of any defects or conditions that may put children at risk. The home has a fully stocked first aid kit available during today's visit. The home has a smoke detector, a carbon monoxide detector, and a fire extinguisher. All garbage cans and power outlets are appropriately covered. All cleaning and washing products, along with any other harmful materials, are kept out of children's reach. During today's visit, the LPA observed no walkers, bouncers, or similar objects present. According to the licensee, no firearms or weapons are on the premises. The LPA observed that the home has no pools, spas, or other bodies of water. See Page 2

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: RIBEIRO, KARINA M. & BUENROSTRO, MARIA C.	FACILITY NUMBER: 214005157
	VISIT DATE: 03/11/2024

NARRATIVE

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The LPA observed two designated areas for children to sleep or rest quietly. The two areas include sleeping mats, sleeping playpens, and blankets for each child. The LPA observed two diaper-changing stations in the home, which were clean and safe for the children. Baby wipes and diapers were available for the children in care.

The LPA observed that all required documents, such as the facility license, the Notification of Parental Rights, and the Earthquake Preparedness Checklist, were displayed in the home. The facility’s most recent emergency disaster drill, conducted on December 5, 2023, was properly recorded, as confirmed by the LPA's review of the log.

The LPA reviewed the records of both the children and staff members. According to the licensee, she doesn't have childcare insurance, which isn't required for a family childcare home. The LPA reviewed the five children's records and found that all five files contained all necessary documents, Immunization Record, Identification/Emergency Information, Consent for Emergency Medical Treatment, and Notification of Parents’ Rights. The LPA reminded the licensee that if a home daycare does not carry childcare insurance, each child’s file must contain the Affidavit Regarding Liability Insurance For Family Child Care Home form. The LPA reviewed the sleeping records of the two children under two and determined that the data was properly recorded. Following a review of the staff records, the LPA found the licensee possesses a current certification in Pediatric First Aid/CPR. Ms. Buenrostro’s Pediatric First Aid/CPR certification expires on 4/2024.

The licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.

See Page 3

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: RIBEIRO, KARINA M. & BUENROSTRO, MARIA C.	FACILITY NUMBER: 214005157
	VISIT DATE: 03/11/2024

NARRATIVE

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LPA discussed the safe sleep regulations with the licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed the licensee 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.

The licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

On March 11, 2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

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

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

No deficiencies were issued today during LPA's visit.

A copy of today’s report was given to Maria Buenrostro.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Maria Buenrostro.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024

LIC809 (FAS) - (06/04)

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