214005422-8-2-2024-05-CC-HLEG-D7RS3J-20240802133112

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 214005422
Report Date: 08/02/2024
Date Signed: 08/02/2024 01:31:21 PM

Document Has Been Signed on 08/02/2024 01:31 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:	VASQUEZ, DAMARIS E.		FACILITY NUMBER:	214005422
ADMINISTRATOR:	VASQUEZ, DAMARIS E.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 464-7473
CITY:	SAN RAFAEL	STATE: CA	ZIP CODE:	94901
CAPACITY:	14	CENSUS: 8	DATE:	08/02/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:31 AM
MET WITH:	Damaris Vasquez		TIME COMPLETED:	01:45 PM

NARRATIVE

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On 8/2/2024, Licensing Program Analysts (LPAs) Leong and Alvarado conducted an unannounced annual visit to the Family Childcare Home (FCCH) listed above. LPAs met with the Licensee, Damaris Vasquez, and explained the purpose of the visit.

Eight children (one infant, six pre-k, and one school-age), three adults (the licensee, the licensee’s assistant, and the licensee’s son), and the licensee's daughter (under the age of 18) were present during the visit. The three adults received criminal record clearance from the department. The licensee holds a large license and is within capacity limits and ratios.

The licensee rents the home and lives with her husband and two children (one under the age of 18 and one over the age of 18). The hours of operation are Monday through Friday from 6:30 am to 6:30 pm.

LPAs observed that all required documents, such as the facility license, the Notification of Parental Rights, and the Earthquake Preparedness Checklist, were displayed in a prominent, publicly accessible location.

The most recent emergency disaster drill was conducted on 5/24/2024, and the LPAs observed that it was properly documented. LPAs reviewed the emergency disaster drill log and found that they were conducted at least once every six months.

Day-care Areas: Living Room, Front Yard Area, and Dining Room

Off Limit Areas Kitchen, Bedroom #1, Bedroom #2, and Backyard.The licensee understands that off-limits areas may not be used for childcare during business hours

LPAs conducted inspections of the indoor and outdoor daycare areas to identify health and safety hazards. A fire extinguisher, a first aid kit, and multiple carbon monoxide and smoke detectors are present in the home. LPAs found the home's interior to be clean and orderly, with proper heating and ventilation for safety and comfort. Disinfectants, cleaning solutions, poisons, and other hazardous items were stored in areas inaccessible to children. The bathroom was found to be clean and fully operational. The toilet and handwashing facility were well-kept, safe, and clean. The bathroom is equipped with appropriate toileting equipment and appropriate sanitation products.

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SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

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: VASQUEZ, DAMARIS E.	FACILITY NUMBER: 214005422
	VISIT DATE: 08/02/2024

NARRATIVE

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LPAs observed that the daycare areas had age-appropriate toys, furniture, and educational materials. No equipment, such as walkers, bouncers, or similar objects, was present in the home. The fireplace was observed to be properly barricaded with a piece of furniture. The home was observed to have individual permanent or portable storage space for the children’s clothing and personal belongings. Electrical outlets were observed to be properly covered with child safety covers. A child sliding gate was observed at the stairs. According to the licensee, no firearms or weapons are on the premises. A diaper changing station was observed in the home, and it appeared clean for children to use.

The licensee does not currently provide a food service for the children. The children's families provide children with their lunches.

The backyard is enclosed by a fence and equipped with outdoor play equipment that is in good condition. The areas around and under high climbing equipment, swings, slides, and similar equipment were observed to be cushioned with grass that absorbs falls. LPAs observed thumbtacks on the floor, and the licensee immediately removed them. LPAs also observed ladders in the front yard, and the licensee placed flower pots to make the ladders inaccessible to the children. LPAs observed electrical plugs in the front yard that were close to a water hose, and the licensee placed the plugs in a higher area inaccessible to the children. LPAs did not observe any pools, spas, or bodies of water on site.

The facility's children sleep on cots and in cribs. The infant mattress was found to be firm.

LPAs reviewed five children’s files and confirmed that all five children have complete files that include their emergency contact, medical information, and sleep logs for children under two years old. One child is missing LIC 9224, required for a facility receiving a Type A deficiency within twelve months of the deficiency on 1/4/2024, and the LPAs reminded the licensee that she is required to ask the parent to sign the LIC 9224.

LPAs reviewed the licensee’s files and confirmed that all required forms were present. LPAs found that the licensee possesses a current Pediatric First Aid/CPR certification, which expires on 3/2025.

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SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

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: VASQUEZ, DAMARIS E.	FACILITY NUMBER: 214005422
	VISIT DATE: 08/02/2024

NARRATIVE

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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/.

LPAs discussed the safe sleep regulations with 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. LPAs also informed 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.

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 LPAs completed the RSO profile in FAS.

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.

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SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

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: VASQUEZ, DAMARIS E.	FACILITY NUMBER: 214005422
	VISIT DATE: 08/02/2024

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No deficiencies were issued today during LPA's visit.

Today’s report was translated into Spanish by LPA Alvarado.

A copy of today's report was given to the Licensee, Damaris Vasquez.

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

Exit interview conducted and report was reviewed with the Licensee, Damaris Vasquez.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC809 (FAS) - (06/04)

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