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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410518531
Report Date: 01/25/2023
Date Signed: 01/25/2023 09:46:39 AM


Document Has Been Signed on 01/25/2023 09:46 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:NAVARRETE, GLORIA L.FACILITY NUMBER:
410518531
ADMINISTRATOR:NAVARRETE, GLORIA L.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 873-6956
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY:12CENSUS: 5DATE:
01/25/2023
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Gaudiosa PascualTIME COMPLETED:
09:46 AM
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On 1/25/2023, Licensing Program Analyst (LPA), Hanson Leong, made an announced case management visit to the Gloria Navarrette’s day-care facility. The LPA was granted entry by the Licensee’s Assistant, Gaudiosa Pascual. The LPA explained the purpose of the visit to the licensee’s assistant. According to the licensee’s assistant, the licensee is currently on vacation. Guardian, the department's system for conducting background checks, has confirmed that all the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility.. The LPA observed the licensee’s assistant supervising five preschool children. Children's capacity and ratio requirements were observed to be in compliance.

During the visit, the licensee's assistant requested the LPA to assist her in logging into her Red Cross account in order for her to complete her First Aid and CPR training. The licensee's assistant was able to log in. The LPA requested that the licensee's assistant complete her First Aid and CPR training as soon as possible to ensure the safety of the children in her care. To ensure compliance, the LPA requested that the licensee's assistant send a copy of her First Aid and CPR certificates to the department.

A copy of this report was given to the license’s assistant. Gaudiosa Pascual

An exit interview was conducted, and the report was reviewed with the Licensee’s Assistant, Gaudiosa Pascual
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
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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