384001053-2-28-2024-05-CC-JTSE-D2VSQR-20240228130509

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001053
Report Date: 02/28/2024
Date Signed: 02/28/2024 01:05:25 PM

Document Has Been Signed on 02/28/2024 01:05 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:	SHEEHAN, KERI		FACILITY NUMBER:	384001053
ADMINISTRATOR:	SHEEHAN, KERI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 531-9376
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94117
CAPACITY:	14	CENSUS: 5	DATE:	02/28/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Licensee, Keri Sheehan		TIME COMPLETED:	01:20 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 2/28/2024, at approximately 11:10AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced visit at the facility. LPA was granted entry to the facility by Licensee, Keri Sheehan. LPA explained the purpose of the visit. Present during the visit was the Licensee, a helper (H1), two infants, and three preschool age children. The facility is in compliance with capacity requirements on this day. The facility’s operating hours are from 8:00AM to 4:30PM. Daycare Areas: Living Room, Bathroom, and Bedroom on the ground level of the home. Off-limits Areas: Garage, Backyard, and all other levels of the home. LPA inspected the home for any health or safety hazards. LPA observed the home to be in clean and orderly condition. The home is equipped with a fully charged fire extinguisher. There is a carbon monoxide detector present in the home. Electrical outlets are covered or otherwise obstructed by furniture to be inaccessible to children in care. LPA observed age-appropriate toys and learning materials to be present in the Living Room and the Bedroom. Per Licensee, the Bedroom is used as an infant napping area. LPA observed two cribs in the Bedroom, one for each infant in care. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children. Per Licensee, there are no weapons or firearms in the home. There is currently no licensed outdoor play area in the facility. There are no pools or other bodies of water present in the facility. Per Licensee, children are taken to a local park for outdoor play. During the visit, Licensee discussed the addition of the Backyard as a daycare area. LPA inspected the Backyard for health and safety hazards. There are stairs in the Backyard that have been secured by a childproof gate. LPA advised Licensee that prior to approval by Department review, the Backyard shall be set up as intended for daycare activities. Licensee stated that they understood. 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: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

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: SHEEHAN, KERI	FACILITY NUMBER: 384001053
	VISIT DATE: 02/28/2024

NARRATIVE

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LPA reviewed two personnel files and five children’s files. Licensee’s First Aid/CPR certification expires on 2/2026. Licensee’s Mandated Reporter Training expires 1/2025. All children’s files included Emergency Identification and Information (LIC700) and complete immunization records. LPA discussed maintaining infant sleeping logs with Licensee.

All required postings were observed to be posted and accessible for review. The last emergency drill conducted was on 1/4/2024. Emergency drills are properly logged and documented. Breakfast, lunch, and snacks are provided for children in care.

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: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

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

FACILITY NAME: SHEEHAN, KERI	FACILITY NUMBER: 384001053
	VISIT DATE: 02/28/2024

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 2/28/2024.
See LIC9102-TV for technical violation issued regarding infant sleeping logs.
See LIC9102-TA for technical assistance provided today regarding maintaining personnel files.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Keri Sheehan.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Jonathan Tse	TELEPHONE: (650) 464-4927
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

LIC809 (FAS) - (06/04)

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