214200174-4-9-2024-05-CC-JTSE-D46VJJ-20240409162849

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 214200174
Report Date: 04/09/2024
Date Signed: 04/09/2024 04:29:01 PM

Document Has Been Signed on 04/09/2024 04:29 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	OLIVEIRA, ROSANA S. & ATHOS		FACILITY NUMBER:	214200174
ADMINISTRATOR:	OLIVEIRA, ROSANA & ATHOS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 381-4384
CITY:	MILL VALLEY	STATE: CA	ZIP CODE:	94941
CAPACITY:	14	CENSUS: 1	DATE:	04/09/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Licensee, Rosana Oliveira		TIME COMPLETED:	04:45 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 4/9/2024, at approximately 2:00PM, Licensing Program Analysts (LPAs) Jonathan Tse and Diana Alvarado conducted an unannounced annual visit at the facility. LPAs met with Licensee, Rosana Oliveira (L1). Present during the visit was L1, co-Licensee Athos Oliveira (L2), Licensee’s minor son, and one preschool age child. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 8:00AM to 5:00PM. Daycare Areas: Playroom, Bathroom #1, Office, Front Yard. Off-limits Areas: Master Bedroom, Room #1, Room #2, Bathroom #2, Bathroom #3, Living Room, Dining Room, Kitchen, Laundry Room, and Backyard. LPAs inspected the home for any health or safety hazards. LPAs observed the home to be in clean and orderly condition. There is a fully charged 2A10BC fire extinguisher present in Bathroom #1. Licensee demonstrated a carbon monoxide detector to be operational. Outlets are covered or obstructed by furniture when not in use to be inaccessible to children in care. Per L1, there are no firearms or weapons in the facility. LPAs observed age-appropriate toys and learning materials to be present in the Playroom. Furniture is age-appropriate and free of sharp or rough edges. There are baby swings present, and per L1, they are not used for infant napping. LPAs discussed safe sleep requirements with L1 regarding moving sleeping infants to a crib. The facility provides bedding for children in care and washes the bedding every day. Diapers are provided from home, and the facility stores them in labeled containers for each child. Children bring food from home and the facility provides food when necessary. Continued on Page Two

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Jonathan Tse	TELEPHONE: (650) 464-4927
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: OLIVEIRA, ROSANA S. & ATHOS	FACILITY NUMBER: 214200174
	VISIT DATE: 04/09/2024

NARRATIVE

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LPAs observed the Front Yard to be free of debris and other loose articles. The Front Yard is enclosed by a fence that is at least four feet high. There are age-appropriate toys and equipment for children in care. There are play structures present that are cushioned by resilient padding in the form of grass. There are no pools or other bodies of water present in the facility. All off-limits areas are secured by childproof gates.

LPAs reviewed two personnel files, four children’s files, and facility records. L1’s First Aid/CPR training expires 8/2024. L1’s Mandated Reporter Training expires 2/2026. LPAs observed all children’s records to be complete. LPAs observed all required postings to be visible and accessible for review. The facility last conducted an emergency drill on 11/1/2023. Emergency drills are properly logged and documented.

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.

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.

LPA 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. LPA 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.

Continued on Page Three

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Jonathan Tse	TELEPHONE: (650) 464-4927
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: OLIVEIRA, ROSANA S. & ATHOS	FACILITY NUMBER: 214200174
	VISIT DATE: 04/09/2024

NARRATIVE

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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/.

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

No deficiencies were cited during today’s visit on 4/9/2024. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Rosana Oliveira.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Jonathan Tse	TELEPHONE: (650) 464-4927
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024

LIC809 (FAS) - (06/04)

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