414002119-11-28-2023-05-CC-CQUO-CXZPZ6-20231128104501

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002119
Report Date: 11/28/2023
Date Signed: 11/28/2023 10:45:06 AM

Document Has Been Signed on 11/28/2023 10:45 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	ANICO, LEILA L.		FACILITY NUMBER:	414002119
ADMINISTRATOR:	ANICO, LEILA L.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 992-8969
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94015
CAPACITY:	14	CENSUS: 8	DATE:	11/28/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:20 AM
MET WITH:	Leila Anico		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 November 28, 2023 at approximately 8:20am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with licensee, Leila Anico, and explained the purpose of the inspection. Present during LPA's visit included licensee's assistant and 8 children (4 infants and 4 preschool age). Licensee is operating within capacity limits and ratio during LPA's visit. Licensee lives in the home with their spouse and minor child. All adults living in the home have fingerprint clearance on file. LPA reminded licensee once their child turns 18 years old, licensee's child must have fingerprint clearance. Hours of operation are Monday through Friday 7:30am to 5:30pm. With licensee, LPA inspected day care areas for health and safety hazards. The DAY CARE AREAS are the living room (main day care area), hallway bathroom, and backyard. The OFF LIMIT AREAS are kitchen, garage, and all 3 bedrooms. Licensee utilizes a child safety gate in hallway. LPA observed home to be in good repair with proper temperature and ventilation. Home is equipped with a variety of toys and materials that were observed to be in good working condition. The living room includes a fireplace that is properly barricaded and made inaccessible. There is additional padding on the fireplace for additional safety. LPA did not observe accessible electrical outlets in day care area. Carpets in living room were observed to be clean, free of stains. Home is equipped with a fully charged fire extinguisher, fully stocked first aid kit, smoke alarm system, smoke detector and carbon monoxide detector. LPA tested carbon monoxide detector in living room and observed detector to be in working condition. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ANICO, LEILA L.	FACILITY NUMBER: 414002119
	VISIT DATE: 11/28/2023

NARRATIVE

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Hallway bathroom for children's use was observed to be in working condition. LPA observed cabinets in bathroom to have child safety locks installed. Bathroom is equipped with appropriate sanitation products and appropriate toileting equipment. LPA did not observe any accessible poisons or cleaning supplies in bathroom.

Children's napping area is located in living room. Licensee utilizes cribs for napping infants and mats for napping preschool age children. LPA observed cribs to be free of loose articles and materials.

Entire backyard is fully enclosed and fenced. LPA observed outdoor area to include outdoor toys and equipment that were in good condition. There is padding in backyard floor for additional safety. There are storage sheds in backyard that were observed to be locked. LPA did not observe any pools, spas or bodies of water on site.

LPA reviewed facility records that included 6 children's records. Children's files have a record of emergency identification information and immunization records. Licensee's Pediatric First Aid/CPR certification is current and will expire 11/2024. Licensee's assistant present also has a current First Aid/CPR certification.

Licensee has licensing documentation properly posted and available for review. Licensee also maintains a child care roster that was made available for review. Per licensee, there are no weapons or firearms in the home.

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

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed 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.
(Continue Report on Page 3...)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ANICO, LEILA L.	FACILITY NUMBER: 414002119
	VISIT DATE: 11/28/2023

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-andresources/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.

Incidental Medical Services (IMS) policy was discussed. 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, Leila Anico, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

No deficiencies were issued today during LPA's visit.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Leila Anico.

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023

LIC809 (FAS) - (06/04)

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