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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001992
Report Date: 12/20/2022
Date Signed: 12/20/2022 03:04:39 PM


Document Has Been Signed on 12/20/2022 03:04 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:LABBE, CHRISTINEFACILITY NUMBER:
384001992
ADMINISTRATOR:LABBE, CHRISTINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 648-1824
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:14CENSUS: 3DATE:
12/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Christine Labbe TIME COMPLETED:
03:15 PM
NARRATIVE
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On 12/20/2022 at 12:45PM., Licensing Program Analysts (LPA), Luis J. Gomez met with Licensee, Christine Labbe. Purpose of the inspection was explained and was for an unannounced; Annual Random inspection. Present in facility was the licensee caring for three children (two preschool age and one infant age). Adults have criminal record clearances on file. Licensee’s home is a one bedroom, one bathroom, one level house. Days and hours of operation are Monday- Friday, 8:30AM- 4:00PM. Daycare areas: Living room (Playroom), Bathroom #1 Off Limit areas: Kitchen, Bedroom #1, Hallway and Entire lower level. LPA inspected home with licensee for health and safety hazards.

At 12:55PM., the following was observed: Facility was clean, orderly, with age appropriate playthings available for the children. Floors and ground surfaces were clear of obstructions or hazards. Accessible furniture, blocks and children’s books inspected were in good repair. Playroom has child sized table and chairs for snack and activities. Entry way is equipped with cubbies for storage of children's belongings. For napping services, LPA observed sleeping mats and infant play pens (with tight-fitting sheets).

LPA reminded licensee no object may hang above napping infant's crib. Advisory Note: Technical Violation (LIC9102TV) was issued during inspection.

Bathroom #1 had adequate supplies for hand-washing. Fixtures tested were in operating condition. Facility was the proper temperature, with ventilation and lighting. Home had functioning telephone; smoke/ carbon monoxide combination detector; and fire extinguisher, 2A:10BC.

Home does not any pools, fishponds, or bodies of water on the premises.


(REFER TO 809C, FOR CONT)
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2022
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: LABBE, CHRISTINE
FACILITY NUMBER: 384001992
VISIT DATE: 12/20/2022
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(Page 2)
At 10:10AM, LPA reviewed facility and children’s records. Children’s files were reviewed and included the: Admission Agreement; Identification of Emergency Information (LIC700); Immunization Records; Notification of Parent’s Rights (LIC995); Notice of Additional Children in Care (LIC9150); and Consent for Medical Treatment (LIC627).

LPA reminded licensee to maintain required napping log for infants in care. Advisory Note: Technical Assistance (LIC9102TA) was issued during inspection .



Licensee’s required 'Mandated Reporter Training Certification' (AB1207) was on file, expires 9/2024.
Licensee’s (and helpers) Cardiopulmonary Resuscitation (CPR)/ First Aid certifications is current, expires 5/2024.

Licensee is conducting required emergency disaster drill every six months, with last drill logged on: 12/8/2022.

Required posting are posted in visible location. Per licensee, isolation of ill children is in playroom.

Per licensee, she provides all foods services for children in care. LPA reminded licensee all children’s meal containers brought to the facility are properly labeled. Per licensee, home does not have any firearms.

Licensee was reminded that all adults 18 years and over, living or working in the home, including employee and volunteers, must obtain criminal 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 up to $500.00 maximum per day/ per person will be assessed if this regulation is violated.


(REFER TO 809C, FOR CONT.)
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: LABBE, CHRISTINE
FACILITY NUMBER: 384001992
VISIT DATE: 12/20/2022
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(Page 3)
LPA discussed the safe sleep regulations with licensee and discussed Child Care Licensing Safe Sleep Web page at:https://www.cdss.ca.gov/inforesource/child-care-licesning/public-information-and-resources/safe-sleep as an additional resource. LPA informed licensee of the importance of checking for recalled infant devices on United States consumer Product Safety Commission (CPSC) website at http://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will 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 tool, please send them 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/inforesource/community-care-licensing/inspection-process.

Based on today's inspection, no deficiencies were observed in areas evaluated according to California Title 22, Health and Safety Code of Regulations. Exit interview and report was discussed with Licensee, Christine Labbe and signature of this form acknowledges receipt of these documents.



LPA unable to print report during inspection. Signed report will be mailed to facility.
Notice of Site Visit was provided and must be posted for 30 days.

This report must be available in the facility for public review. Licensee was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022
LIC809 (FAS) - (06/04)
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