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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414000923
Report Date: 11/20/2024
Date Signed: 11/20/2024 01:19:14 PM

Document Has Been Signed on 11/20/2024 01:19 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:BARRERA, VERONICAFACILITY NUMBER:
414000923
ADMINISTRATOR/
DIRECTOR:		BARRERA, VERONICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 216-7500
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94063
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
11/20/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Licensee, Veronica BarreraTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
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On November 20th, 2024 at approximately 9am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced annual/random inspection. LPA met with Licensee, Veronica Barrera and explained the purpose of the inspection. Present in the facility are licensee and assistant caring and supervising 12 children (4 infants and 8 preschoolers). All adults present today have fingerprint clearance and are associated.

Licensee owns home, which is a 4 bedroom, 3 bathroom, two story house. The hours of operation are Monday-Friday from 7am-7pm. Daycare areas are: First Floor: Play Room, Living Room, Dining area, (Master) Bedroom #1, Bathroom #1, Bedroom #2, and Backyard. OFF limit areas: First Floor: Front yard, Driveway, Kitchen. Entire Second Floor: Bedroom #3, Bedroom #4, Bathroom #3. Off limit areas, including closets, are properly barricaded.



LPA observed home to be clean and in good repair with proper temperature and ventilation. There were a variety of age appropriate toys and equipment in the home which were in good condition. Home does not have a fireplace and/or open face heaters in the home. There are pet dogs with proper documentation. There were no pools, spas or bodies of water on the property. LPA advised licensee about water safety hazards. All cleaning supplies, poisons, and other chemicals were stored inaccessible to children. Discipline Policy was discussed. Isolation Area a sick child will be in the living room.

There was a fully charged fire extinguisher, smoke alarm and carbon monoxide alarm, and a working telephone on site. Phone number listed for Licensee is updated in the system. Per Licensee, there are no weapons or firearms in the home. Infant children are sleeping in pack and plays in the play room and the Master Bedroom. Sleep logs are not being logged for each infant child (deficiency was cited).

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE: DATE: 11/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: BARRERA, VERONICA
FACILITY NUMBER: 414000923
VISIT DATE: 11/20/2024
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LPA reviewed 10 children's file and facility files. Children's files were complete. Licensees CPR & First Aid Certificate expires on 09/2026. Licensee's Mandated Reporter Certificate has expired (deficiency was cited). Per licensee, an emergency drill was conducted In July but did not document the drill. LPA reminded that Emergency Drills must be conducted at least once every six months and be properly logged. All the required posting documentation, such as the facility license, Notification of Parental Rights have been placed in a prominent area for parents or representatives to review.

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 atwww.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

Licensee was reminded that all adults 18 and over, 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 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-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.



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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2024
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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: BARRERA, VERONICA
FACILITY NUMBER: 414000923
VISIT DATE: 11/20/2024
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Incidental Medical Services (IMS) policy was discussed. Licensee does not offer IMS at this time. 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, the licensee, Veronica Barrera, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS on 11/20/24.

***Deficiencies were cited today under California Code of Regulations, (Title 22, Div. 12, Ch 3)



A Notice of Site Visit was given and must be posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Veronica Barrera. This report was translated into Spanish by Certified Bilingual, LPA Tapia-Mandujano.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2024
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Document Has Been Signed on 11/20/2024 01:19 PM - It Cannot Be Edited


Created By: Leslit Tapia-Mandujano On 11/20/2024 at 12:11 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BARRERA, VERONICA
FACILITY NUMBER: 414000923

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above as licensee and assistant have not renewed the mandated reporter training which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/13/2024
Plan of Correction
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Licensee and assistant will renew the mandated reporter training and will submit proof of completion to LPA Tapia-Mandujano by 12/13/24.
Type B
Section Cited
CCR
102425(j)(2)(D)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above as she is not mainintaing sleep logs for children under 24 months which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/27/2024
Plan of Correction
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LPA provided a copy of the PIN 20-24-CCP in Spanish (Safe Sleep Regulations).

Licensee will conduct the Safe Sleep checks and document when children under 24 months are sleeping.

Licensee will submit proof of doing the safe sleep log starting today until 11/27/24 for each infant child. Licensee will email safe sleep logs to LPA Tapia-Mandujano by 11/27/24.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Marie Rodriguez
LICENSING EVALUATOR NAME:Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:
DATE: 11/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2024


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