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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002537
Report Date: 08/08/2022
Date Signed: 08/08/2022 12:43:33 PM


Document Has Been Signed on 08/08/2022 12:43 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:PINHEIRO, ALEXANDREFACILITY NUMBER:
384002537
ADMINISTRATOR:PINHEIRO, ALEXANDREFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 771-1004
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 9DATE:
08/08/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Alexandre PinheiroTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Yee conducted a Required - 1 Year inspection today. The purpose of the inspection was explained. LPA toured the facility with the licensee, Alexandre. Present at the facility are Alexandre, 2 helpers and 9 children (2 infants). Days and hours of operation: Monday - Friday, 7:30am- 6:00pm.

Daycare areas are: Dining room, hall way bathroom and backyard. The licensee requested to add his living room during the inspection. Living room was inspected and approved. Off Limit areas are: two bedrooms in the back, bedroom near the kitchen, kitchen and downstairs's room. The facility personnel summary report was reviewed and the licensee said it's current.

The home is clean orderly and ventilated properly. The home is equipped with a 2A10BC Fire extinguisher, smoke detectors and carbon monoxide. Cleaning compounds, detergents, medications are made inacessible to children in care. Kitchen/Bathroom cabinets/drawers are made inacessible to children in care. Alex and both helpers have current First aid and CPR which expires 12/2022. The last fire drills/earthquake drills was conducted on 7/14/2022. LPA advised the facility to keep a log sheet. Disciplinary policy was discussed with Licensee today. Home has age appropriate toys and equipment available for the children in care.

LPA reviewed 9 children's files and found infants files do not have LIC 9227 "Infant Sleeping Plan". Safe sleep regulations was explained. LPA provided a blank sheet of LIC9227 and a sample sheet of a log sheet. The licensee said he understands.

LPA also review Licensee and assistant files. The licensee and both helpers have Child Abuse Mandated Reporter Training completed on 2/16/2022. However, one helper immunization is not available for a review during the inspection. The licensee said the helper will locate the record and he will send it to CCL by the end of this month.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 08/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/08/2022
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: PINHEIRO, ALEXANDRE
FACILITY NUMBER: 384002537
VISIT DATE: 08/08/2022
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LPA discussed Child Abuse Mandated Reporter Training AB1207 with Licensee. As of January 1, 2018 all staff will be required to complete Child Abuse Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Licensee was also informed that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://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.


An exit interview was conducted. A copy of this report was provided. Notice of Site Visit is to remain posted for 30 days. For updates on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2022
LIC809 (FAS) - (06/04)
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