384002331-2-7-2023-05-CC-CQUO-CNTQ2Y-20230207104756

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002331
Report Date: 02/07/2023
Date Signed: 02/07/2023 10:48:36 AM

Document Has Been Signed on 02/07/2023 10:48 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
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	CIRELLI, GABRIELLA & CIRELLI, FRANCO		FACILITY NUMBER:	384002331
ADMINISTRATOR:	CIRELLI, GABRIELLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 655-9491
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY:	14	CENSUS: 9	DATE:	02/07/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Gabriella Cirelli		TIME COMPLETED:	11:00 AM

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 February 7, 2023 at approximately 8:15am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with both licensees, Gabriella and Franco Cirelli, and explained the purpose of the inspection. Present during LPA's visit included 3 staff with 9 children present (4 infants and 5 preschool age). Facility is operating within capacity limits and ratio during LPA's visit. Hours of operation are Monday to Friday from 8:00am to 6:00pm. Licensees live in the multi-level, multi-unit home that includes three levels with 2 separate units. Family child care program operates on the ground level unit. The DAY CARE AREAS are the living room, eating area, bedroom (napping room), bathroom, deck and backyard. The OFF LIMIT AREAS are the garage, second and third floor of home. Off limit areas are barricaded with locked doors and/or child safety gates. LPA inspected the day care areas for health and safety hazards. Family child care home program operates as a Spanish Immersion program with cultural components to program's curriculum. LPA observed family chid care home to be in good repair with proper temperature and ventilation. Home is equipped with a variety of age appropriate toys and equipment that were in good condition. LPA observed stairs in day areas to be properly barricaded with child safety gates. Sharp edges in home were observed to be padded and made inaccessible. All cleaning supplies, poisons and other chemicals were observed to be stored inaccessible to children behind chid safety locked cabinets or located in home's high shelves. The entire outdoor area is enclosed with an at least 5 ft. high fence. LPA observed backyard to have age appropriate toys and equipment. Outdoor area includes a chicken coop that is made separate from day care children. LPA did not observe any pools, spas or bodies of water on site. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

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
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CIRELLI, GABRIELLA & CIRELLI, FRANCO	FACILITY NUMBER: 384002331
	VISIT DATE: 02/07/2023

NARRATIVE

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Bathroom was observed to be in proper working condition. Area is equipped with appropriate toileting equipment and sanitation products.

Home is equipped with multiple fully charged fire extinguishers and a working smoke/carbon monoxide detector. There was a working telephone on site. Phone number listed for licensee is current. Per licensee, there are no weapons or firearms in the home. LPA observed licensing documentation to be properly posted and made available for review near front entrance of day care area.

LPA reviewed five random children's records which were complete. Children's files have a record of emergency identification information on file. Infants' files have records of infant's individual sleeping habits and needs and services plans.

LPA reviewed licensee and staff's files (whom were present during LPA's visit). Staff files were complete with required immunizations that were made available for review. Multiple staff on site have current CPR certifications. Licensee's CPR certificate is current and will expire 08/2023. Emergency drills are conducted at least once every six months and are properly logged. Last emergency drill conducted was 01/26/2023.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: www.ada.gov/childqanda.htm.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
(Continue Report on Page 3...)

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

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
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CIRELLI, GABRIELLA & CIRELLI, FRANCO	FACILITY NUMBER: 384002331
	VISIT DATE: 02/07/2023

NARRATIVE

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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 tools, please send them by email 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/process.

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-and-resources/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.

No deficiencies were cited today under CCR, Title 22, Div. 12.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

At time of LPA's visit, LPA's printer did not have ink. LPA will email a copy of report to licensee. Licensee is required to acknowledge receipt of report.

Exit interview conducted and report was reviewed with the licensee, Gabriella Cirelli.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

LIC809 (FAS) - (06/04)

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