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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002537
Report Date: 09/20/2019
Date Signed: 09/20/2019 01:34:40 PM

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:PINHEIRO, ALEXANDREFACILITY NUMBER:
384002537
ADMINISTRATOR:PINHEIRO, ALEXANDREFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 771-1004
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 11DATE:
09/20/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Alexandre PinheiroTIME COMPLETED:
02:00 PM
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2, Licensing Program Analyst, LPA Yee conducted a case management inspection today. Upon arrival, LPA met with two helpers, and 11 napping children. Helper called licensee Alex and Alex arrived at the facility in 15 minutes. The purpose of the inspection was explained. Current residents at the facility are licensee, Alexandre, 1 roommate, and his 2 daughter ages 12 yr old and 7 yr old. Facility personnel summary report was reviewed with Alex and he said it's current. LPA toured the facility with Alex and the daycare areas are the same as previous inspection. Day-care areas (upper level): Dining room, bedroom #1, hallway bathroom and backyard. The remaining areas of the house are off-limits. Both helpers have current CPR and 1st aid certificate until 6/2021, 6/2020. Both helpers have Mandated Reporter Training, AB1207 certificate on file. Child Abuse Mandated Reporter Training, AB1207. https://www.mandatedreporterca.com/. The facility provides snacks and lunches to the children. The children toys and equipment appear to be in good condition. The facility is in compliance today.

LPA used Google Portuguese translation and also offer Language Links translation. The licensee said after reading Google Portuguese translation, he said he understands the report and no need to call Language Links service.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019
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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