414002472-8-7-2019-05-CC-FBRR-BETTXZ-20190807150759

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002472
Report Date: 08/07/2019
Date Signed: 08/07/2019 03:08:07 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:	GUNION, MARY D.		FACILITY NUMBER:	414002472
ADMINISTRATOR:	GUNION, MARY D.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 345-0658
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY:	14	CENSUS: 7	DATE:	08/07/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Mary Guinion		TIME COMPLETED:	03:30 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	Licensing Program Analyst (LPA) Faye Bremer conducted an unannounced Annual inspection. LPA met with Licensee Mary Gunion and explained purpose of inspection. Upon LPA's arrival, there were 3 Preschool aged children, 1 school aged child, 2 infants, and 1 toddler present. The 2 infants and 1 toddler were napping upon LPA's arrival. LPA toured and inspected the entire home, inside and outside, for health and safety hazards. The home was observed to be orderly and clean, with all passageways free and clear of hazards and obstructions. Home is observed to be at a comfortable temperature, has proper ventilation, and has sufficient lighting. Daycare Areas are: Living room, dining room, kitchen, 1 bathroom for children's use with 1 other bathroom used for diaper changes only, 3 bedrooms for napping only, and backyard. Off Limit Areas are all other areas. There are no bodies of water at this home. Home is equipped with sufficient age appropriate toys and equipment for children indoors and outdoors. Home has a working telephone, carbon monoxide detector, smoke detector and a fully charged fire extinguisher that meet the minimum requirements. Fireplace in living room is properly barricaded. There are no poisons, detergents, cleaning products, or sharp objects accessible to children. According to Licensee, discipline policy is redirection. Licensee does not provide lunches to children, but provides 2 snacks, AM and PM, to children. Emergency drills are conducted and logged, with last drill conducted on July 23, 2019. LPA reviewed files of the 7 children that were present today. All files reviewed have all necessary agreements, records, and signed forms in file. LPA reviewed Licensee Mary Gunion's file and Licensee has current Mandated Reporter training, and has updated 1st aid and CPR training, with expiration of 06/02/2020. Continues on following page.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye Bremer	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019

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: GUNION, MARY D.	FACILITY NUMBER: 414002472
	VISIT DATE: 08/07/2019

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This home 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 are cited on today's inspection.
Report reviewed and discussed with Mary Gunion

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye Bremer	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019

LIC809 (FAS) - (06/04)

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