384002980-2-23-2024-05-CC-JTSE-D2QRPT-20240223121227

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002980
Report Date: 02/23/2024
Date Signed: 02/23/2024 12:12:46 PM

Document Has Been Signed on 02/23/2024 12:12 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	HERRINGTON, ROSIMEIRE		FACILITY NUMBER:	384002980
ADMINISTRATOR:	HERRINGTON, ROSIMEIRE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(628) 444-3244
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94123
CAPACITY:	14	CENSUS: 3	DATE:	02/23/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Licensee, Rosimeire Herrington		TIME COMPLETED:	12:25 PM

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 2/23/2023, at approximately 8:45AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA was granted entry to the facility by a helper (H1). LPA explained the purpose of the visit to H1. Licensee Rosimiere Herrington arrived at 10:55AM. Present during the visit were Licensee, H1, two infants, and one preschool age child. Daycare Areas: Bedroom #1, Bedroom #2, Living Room, Bathroom, and Kitchen. Off-limits Areas: All closets. LPA inspected the home for any health and safety hazards. LPA observed the home to be in clean and orderly condition. The Living Room and Bedroom #2 are furnished as play areas for children. There are age-appropriate toys and play equipment in Bedroom #1, Bedroom #2, and the Living Room. LPA observed all electrical outlets to be secured by covers or otherwise obstructed by furniture to be inaccessible to children in care. LPA observed a carbon monoxide detector to be present in Bedroom #2. The home is equipped with a fully charged 2A10BC fire extinguisher. There is a fire alarm system running throughout the home. There are cribs available for use. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. There is no outdoor play area in the facility. There are no pools or other bodies of water present in the facility. Off-limits areas are kept inaccessible with the use of childproof doorknobs. Continued on Page Two

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Jonathan Tse	TELEPHONE: (650) 464-4927
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024

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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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: HERRINGTON, ROSIMEIRE	FACILITY NUMBER: 384002980
	VISIT DATE: 02/23/2024

NARRATIVE

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LPA reviewed two personnel files and three children’s files. Licensee’s First Aid/CPR expired 9/2021. Licensee’s Mandated Reporter Training expired 5/2023. During the visit, Licensee registered in a class to renew their First Aid/CPR training. LPA discussed Mandated Reporter Training requirements with Licensee. Children’s files were observed to include Emergency Identification and Information (LIC700) and Notification of Parents’ Rights (LIC995A).

LPA discussed requirement to be present in the home for at least 80% of operating hours during the day. The facility provides breakfast and AM/PM snack for children. Children bring lunch from home. All required postings were observed to be posted in the Kitchen.

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 CARE tools, please send email inquiries 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/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 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 the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/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.

Continued on Page Three

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Jonathan Tse	TELEPHONE: (650) 464-4927
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024

LIC809 (FAS) - (06/04)

Page: 2 of 5

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: HERRINGTON, ROSIMEIRE	FACILITY NUMBER: 384002980
	VISIT DATE: 02/23/2024

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, Licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

See LIC9102-TV for technical violations issued today.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee, Rosimeire Herrington.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Jonathan Tse	TELEPHONE: (650) 464-4927
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024

LIC809 (FAS) - (06/04)

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