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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002608
Report Date: 04/16/2024
Date Signed: 04/16/2024 12:46:34 PM


Document Has Been Signed on 04/16/2024 12:46 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:CARINO, ELLEN-GRACE & CEPHASFACILITY NUMBER:
384002608
ADMINISTRATOR:CARINO, ELLEN-GRACE&CEPHASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 267-0853
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 11DATE:
04/16/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Ellen-Grace & Cephas CarinoTIME COMPLETED:
01:15 PM
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Licensing Program Analyst, LPA Yee conducted a follow-up visit today. Present at the facility are licensee Ellen-Grace, co-licensee, Cephas, one helper, and 11 children.

The citations cited on 3/21/2024 have been verified and corrected.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/16/2024
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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