414001251-6-28-2023-05-CC-MOLN-CT8U4F-20230628151505

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001251
Report Date: 06/28/2023
Date Signed: 06/28/2023 03:15:19 PM

Document Has Been Signed on 06/28/2023 03:15 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	BROWN, RUTH M.		FACILITY NUMBER:	414001251
ADMINISTRATOR:	BROWN, RUTH M.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 368-9914
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94061
CAPACITY:	14	CENSUS: 13	DATE:	06/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Ruth Brown		TIME COMPLETED:	03:35 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 June 28, 2023, Licensing Program Analyst (LPA) Maria Olguin-Leon met with Licensee, Ruth Brown for an unannounced annual inspection. The purpose of the inspection was explained. Present today was Licensee, two assistants, and 13 children (3 infants, 8 preschooler and 2 school-age). All adults have criminal record clearances on file with the department. Licensee is operating within capacity and ratio requirements on this day. Hours of operation are Monday– Friday, 8:30am to 5:30pm. LPA and Licensee toured the home for health and safety hazards. Licensee owns this single story 5-bedroom home. Day Care Areas: Living room, daycare room, kitchen, backyard, bathroom (in daycare room), bathroom in a hall is used for changing diapers and storage only. Off Limits Areas: The rest of the home. All cabinets are properly secured with childproof latches. Home is well light and has proper ventilation. Cleaning supplies and other potentially harmful items are stored inaccessible to the children. Fireplace is properly barricaded with a fireplace screen. There are plenty of age-appropriate toys, books, child size furnishings, learning material, sleeping mats and play pens. Backyard has plenty of age-appropriate play toys, swing set, riding toys and sandboxes. Backyard has a concrete patio and has artificial grass area to cushion falls. Backyard off limits areas is properly gated off. There are no spas, pools or other bodies of water. Backyard is completely fenced off with a 5 ft. fence. Licensee owns two dogs that have immunization records. Home is equipped with a working carbon monoxide detector, smoke alarm detector and a fully charged fire extinguisher. Isolation area for ill children will be in area that is not being used and away from other children. First aid kit is fully stocked with supplies. Home is equipped with a landline and Licensee has a cell phone on the premises. Per licensee there are no weapons or firearms in the home. Licensee provides sheets for sleeping mats and playpens and are washed weekly or when soiled. 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: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

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: BROWN, RUTH M.	FACILITY NUMBER: 414001251
	VISIT DATE: 06/28/2023

NARRATIVE

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LPA reviewed 5 children’s records and all required documents were in children’s files and included LIC9227. Staff records were reviewed, one assistant is missing MMR, technical assistance was issued. Licensee Mandated Reporter training is current and expires 05/2025. Licensee’s CPR/First Aid is current and will expire on 12/2023. Licensee provides breakfast, lunch and afternoon snacks to children in care. Children’s roster was reviewed and is up to date. All required posting are posted and include Childcare License, Notification of Parent’s Rights (PUB379), and Emergency Disaster Plan (LIC610A), Last emergency drill was conducted on 05/10/2023 and is properly documented. Licensee has liability insurance through DCI insurance and renewal is on 01/2024. Sleeping logs were observed and are properly logged. LPA collected Licensee’s immunization records.

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

The Licensee was reminded about the Provider Information Notices (PINs) on the CCLD website. 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. LPA reminded licensee about Mandated Reporter training available www.mandatedreporterca.com.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

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: BROWN, RUTH M.	FACILITY NUMBER: 414001251
	VISIT DATE: 06/28/2023

NARRATIVE

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Safe Sleep

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 resources. LPA discussed keeping sleep logs for children under 2 yrs. old., sleep sacks and safe sleep plan.

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, Ruth Brown.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

LIC809 (FAS) - (06/04)

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