414001100-12-7-2022-05-CC-CQUO-CLVQ87-20221207105617

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001100
Report Date: 12/07/2022
Date Signed: 12/07/2022 10:56:43 AM

Document Has Been Signed on 12/07/2022 10:56 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:	BRATT, MICHELLE ELIZABETH		FACILITY NUMBER:	414001100
ADMINISTRATOR:	BRATT, MICHELLE ELIZABETH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 341-0750
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY:	14	CENSUS: 8	DATE:	12/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Michelle Bratt		TIME COMPLETED:	11:00 AM

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 December 7, 2022 at approximately 8:30am, Licensing Program Analysts (LPAs) Catrina Quimbo and Maria Olguin-Leon, conducted an unannounced, annual inspection. LPAs met with licensee, Michelle Bratt, and explained the purpose of the inspection. Present in the home were licensee, licensee's assistant (A1), and 8 enrolled children (2 infants and 7 preschool age). Facility is operating within capacity limits and ratio during LPAs visit. All adults living and/or working in the home have criminal record clearance on file. Hours of operation are Monday to Friday from 7:30am to 4:30pm. The home is a multi-level, single family home. The DAY CARE AREAS are on the first level of the home only, which includes the living room, playroom, dining area, kitchen, bedroom #1 (napping room), bathroom #1, and backyard. The OFF LIMIT AREAS are the garage, front yard of home, and entire second level of the home. Off limit areas are made inaccessible with child safety gates and/or child safety handles. LPAs toured day care areas of home with licensee. LPAs observed the home to be in good repair with proper temperature and ventilation. Electrical outlets in day care areas were observed to be inaccessible with child safety covers and/or blocked by furniture. Living room includes a fire place that is properly barricaded. LPAs observed a variety of age appropriate toys and equipment that were in good working condition. LPAs observed cleaning supplies, poisons and other chemicals to be stored inaccessible to children in home's high cabinets and/or locked behind child safety locked cabinets. The entire backyard is enclosed with an at least 5ft. high fence. The backyard includes a hot tub that is properly barricaded and covered. LPAs observed the backyard to be equipped with outdoor toys and equipment that were in good working condition. Home is equipped with a working smoke and carbon monoxide detector, fully charged fire extinguisher and a working phone on site. Phone number listed for licensee is current. Per licensee, there are no weapons or firearms in the home. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022

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: BRATT, MICHELLE ELIZABETH	FACILITY NUMBER: 414001100
	VISIT DATE: 12/07/2022

NARRATIVE

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LPAs reviewed 8 children's records, whom were present during the inspection, which were complete. Children's files have a record of emergency identification information on file. LPAs reviewed licensee and A1's files which were also complete. Both licensee and A1 have record of immunizations that were made available for review. Both licensee and A1 have current CPR certificates that will expire 08/2024. Both licensee and A1 also have current Mandated Reporter certificates that were available for review.

Last emergency disaster drill was conducted 12/5/2022. Emergency drills are conducted at least once every six months and are properly logged.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: www.ada.gov/childqanda.htm.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: BRATT, MICHELLE ELIZABETH	FACILITY NUMBER: 414001100
	VISIT DATE: 12/07/2022

NARRATIVE

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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.

No deficiencies were cited today under CCR, Title 22, Div. 12.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee, Michelle Bratt.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

LIC809 (FAS) - (06/04)

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