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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002209
Report Date: 09/06/2019
Date Signed: 09/06/2019 04:48:14 PM

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:SANCHEZ, AURORAFACILITY NUMBER:
414002209
ADMINISTRATOR:SANCHEZ, AURORAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 357-7602
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY:14CENSUS: 13DATE:
09/06/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Aurora SanchezTIME COMPLETED:
05:15 PM
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Licensing Program Analyst (LPA) Faye Bremer conducted an unannounced Annual inspection. LPA met with Licensee Aurora Sanchez and explained purpose of inspection. There was 1 infant with 12 preschool aged children present, with 1 staff and Licensee during LPA's inspection. Licensee provides day care from Monday to Friday between 7AM to 6PM.

LPA inspected the home, inside and out, for any health and safety hazards. Home was clean and orderly. This home provides food and snacks to the children. Day Care Areas: large room in the backyard space, Bathroom, bedroom and Backyard. Off limit areas: the rest of the main house. There is no pool, spa or any other body of water in the house. All the cleaning supplies, poisons and other chemicals are stored inaccessible to the children. The home is at a comfortable temperature with sufficient lighting. Carbon monoxide detector, smoke detector and fire extinguisher were observed in the home. A sufficient amount of safe, age appropriate toys, in good repair, were available for children inside the home and outside in the backyard. Sleeping matts were available for each child. LPA did not observe walkers, exersaucers, jumpers, bouncers and any similar items present at the day care home.

LPA reviewed a sample of children's and staff records. Children have all required forms, assessments and agreements on file. Staff have all required training on file. All adults living or working in the home have criminal background check on file. Licensee conducts and logs disaster drills, with last drill conducted June 5, 2019.

LPA discussed Safe Sleep procedures with Licensee. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

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SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye BremerTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019
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: SANCHEZ, AURORA
FACILITY NUMBER: 414002209
VISIT DATE: 09/06/2019
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Facility is not currently providing Incidental Medical Services (IMS). 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 facilities and the ADA, available at: http://www.ada.gov/childqanda.htm

No Deficiencies cited during today's inspection.
Report reviewed and discussed with Aurora Sanchez
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye BremerTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019
LIC809 (FAS) - (06/04)
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