384001992-11-6-2023-05-CC-LGOZ-CXBRAS-20231106115135

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001992
Report Date: 11/06/2023
Date Signed: 11/06/2023 11:51:43 AM

Document Has Been Signed on 11/06/2023 11:51 AM - 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:	LABBE, CHRISTINE		FACILITY NUMBER:	384001992
ADMINISTRATOR:	LABBE, CHRISTINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 648-1824
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	14	CENSUS: 6	DATE:	11/06/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Christine Labbe		TIME COMPLETED:	11:00 AM

NARRATIVE

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On 11/6/2023 at 8:55AM., 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. Present was the licensee caring for 4 children. 2 children arrived during inspection (3 infant-age, 3 Preschool- age). Adults have criminal record clearances on file. Licensee’s home is a 1 bedroom, 1 bathroom, 1 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 9:00AM., the following was observed: Facility was clean, orderly, with age-appropriate playthings available for the children. Floor/ground surfaces was clear of obstructions or potential hazards. Furniture, toys, and books inspected were in good repair. LPA observed several hangers, and cubbies for storage of children’s belongings. Playroom has child sized tables and chairs for seated activities. For scheduled napping services, LPA observed play pens, available for each infant in care. Per licensee, play pens are equipped with tight-fitting sheet.

LPA reminded licensee to ensure infant pacifiers are not attached to draw string, or cords inside play pen. Advisory Note: Technical Violation (LIC9102TV) was issued.

The off-limit areas have been made inaccessible with secured safety gates. Bathroom #1 was clean, with adequate supplies for hand washing. Poisons, detergents, cleaning compounds, medicine, or other items which poses a danger, have been made inaccessible. Facility was the proper temperature, with ventilation and lighting. Home had functioning telephone service; smoke detector, carbon monoxide detector; and fire extinguisher: 3A:40:BC, fully charged in kitchen.

Home does not have any pools, fishponds, jacuzzi and bodies of water. Per licensee, she bring children to the local park (Holly Park), for outside play.

(REFER TO 809C, FOR CONT)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2023

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: LABBE, CHRISTINE	FACILITY NUMBER: 384001992
	VISIT DATE: 11/06/2023

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(Page 2)
At 9:30AM., LPA reviewed facility records including the children’s files.
Children’s files were reviewed and included the: Notification of Parent's Rights (LIC995); Identification of Emergency Information (LIC702); and Immunization Records.

Licensee is reviewing and documenting napping conditions for every 15 minute review for infants in care.

Licensee's Cardiopulmonary Resuscitation (CPR)/ First Aid certification was current, expiring: 9/3/2025.

Licensee ‘Mandated Reporter Training’ (AB1207) was current, expiring: 11/27/2024.

Licensee is conducting required emergency disaster drills, with last drill completed on: 10/16/2023, properly logged.

Required forms are posted in entry way, including the Childcare License; Notification of Parent’s Rights (PUB379); and Emergency Disaster Plan (LIC610A).

Per licensee, isolation of an ill children is in the playroom.

Per licensee, she provides food service for children in care. LPA advised licensee to ensure all children’s food containers brought by families are be labeled. Per licensee, home does not have any firearms.

Licensee was reminded that all adults 18 years and over living in the home, person who provides care and supervision to children, and staff who have contact with children, including employee and volunteers, except as specified in Health and Safety Code section 1596.871, 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 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 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. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2023

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: LABBE, CHRISTINE	FACILITY NUMBER: 384001992
	VISIT DATE: 11/06/2023

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(Page 3)
Licensee was informed of the www.mychildcareplan.org site is a consumer education website that helps families obtain child care by connecting to child care providers and resources and referral agencies (R&R) throughout California.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 20-02-CCP. When an IMS is provided, a plan for 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- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

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 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 cited in areas evaluated according to California Title 22, Div. 12 Chap. 3 Health and Safety Code of Regulations. Exit interview was conducted with licensee, Christine Labbe. Licensee’s signature of this form acknowledges receipt of these documents.

During exit interview, licensee, Christine Labbe, confirmed that there are no registered sex offenders living in the facility, and LPA completed the RSO profile. Notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2023

LIC809 (FAS) - (06/04)

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