414001163-5-23-2023-05-CC-MOLN-CS4NHD-20230523102835

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001163
Report Date: 05/23/2023
Date Signed: 05/23/2023 10:28:56 AM

Document Has Been Signed on 05/23/2023 10:28 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	SILVEIRA, YVETTE		FACILITY NUMBER:	414001163
ADMINISTRATOR:	SILVEIRA, YVETTE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 520-7918
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94062
CAPACITY:	14	CENSUS: 6	DATE:	05/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:12 AM
MET WITH:	Yvette Silveira		TIME COMPLETED:	10:45 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 May 23, 2023. Licensing Program Analyst (LPA) Maria Olguin-Leon met with Licensee, Yvette Silveira, for an unannounced annual inspection. The purpose of the inspection was explained. Present today was Licensee, helper and 7 children (4 infants & 3 preschoolers). Licensee is operating within capacity and ratio requirements on this day. Licensee and helper have criminal record clearances on file with the department. Hours of operation are Monday– Friday, 8:30am to 5:00pm. LPA and Licensee toured the home for health and safety hazards. The home is a one story home. Day Care Areas: Family room, rumpus room, dining room (for napping) and bathroom and outdoor playground area. Off Limits Areas: Kitchen, living room, all 3 bedrooms, and both bathrooms in off limits area and patio area in backyard. Fireplace in family room is completely barricaded with a bookcase. Kitchen is barricaded with child proof gate. The home is clean and has proper ventilation. Cleaning supplies and other potentially harmful items are stored inaccessible to the children. There are plenty of age-appropriate toys, child size furnishings, learning material and play pens. Licensees provide fitted sheets and washes them weekly. Backyard has a separate play area for children and is gated, there are plenty of age-appropriate toys and a play structure all in good repair. Outdoor playground flooring is covered with small pebble rocks. The home is equipped with a carbon monoxide detector, smoke detector and a fully charged fire extinguisher located in rumpus room. Isolation area for ill children is in rumpus room away from other children. First aid kit is fully stocked with supplies. Licensee has a cell phone and understands phone is to stay in home during daycare hours. Per licensee there are no weapons or firearms in the home. LPA reviewed 6 children’s records and all required documents were in children’s files. Helper file is complete with CPR/First Aid, Mandated Reporter and all other required documents. Licensee CPR/First Aid is current and will expire on 02/2025. Mandated reporter is current and expires 05/2025. Licensee provides and cooks meal for children in care. Children’s roster was reviewed and is up to date. Last emergency drill was documented on 05/19/2023. Licensee carries liability insurance is through DCI Insurance, renewal date is 02/2024. Cont. page 2...

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SILVEIRA, YVETTE	FACILITY NUMBER: 414001163
	VISIT DATE: 05/23/2023

NARRATIVE

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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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. Where 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 and Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensee was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. LPA reviewed AB 1207 with the Licensee.

As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

LPA encouraged the Licensee to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. The Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

Safe Sleep

LPA discussed the safe sleep regulations with licensee Yvette Silveira 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 resources.

Cont. page 3...

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

LIC809 (FAS) - (06/04)

Page: 3 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SILVEIRA, YVETTE	FACILITY NUMBER: 414001163
	VISIT DATE: 05/23/2023

NARRATIVE

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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.

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.

As of today, no deficiencies were issued under CCR, Title 22, Division 12.

Exit interview conducted and report was reviewed with the Licensee, Yvette Silveira.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

LIC809 (FAS) - (06/04)

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