414002798-5-1-2024-05-CC-MZAA-D4UQMU-20240501121808

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002798
Report Date: 05/01/2024
Date Signed: 05/01/2024 12:18:13 PM

Document Has Been Signed on 05/01/2024 12:18 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	ORDONEZ, JANIRE		FACILITY NUMBER:	414002798
ADMINISTRATOR:	ORDONEZ, JANIRE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 921-7253
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY:	14	CENSUS: 11	DATE:	05/01/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:19 AM
MET WITH:	Licensee, Jainire Ordonez		TIME COMPLETED:	12:35 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 March 1st, 2024, at approximately 9:20AM, Licensing Program Analyst (LPAs) Melissa Zaragoza and Maria Olguin arrived at the facility to conduct an annual inspection. LPAs were granted entrance by Licensee. LPAs explained the purpose of the inspection. LPAs met with licensee, Janire Ordonez. Present in the facility was licensee and two staff members. Licensee is supervising 11 children (1 infant and 10 preschool age children). Facility is operating within capacity limits on this day. The home is a one level unit facility. Licensee operates in a home that is a 3-bedroom, 1 bathroom home. The hours of operation are from Monday-Friday 8:00am-4:30pm. DAY-CARE AREAS: are the living room, dining area, hallway for a walk through only and changing table, bathroom #1, and backyard area. The OFF LIMITS AREAS are bedroom #1, bedroom #2, bedroom #3, kitchen(walk through), and half of the backyard. Off limit areas are made inaccessible by locked doors. LPAs toured day care areas of home with Licensee to inspect for health and safety hazards. LPAs observed home to be clean and in good repair with proper temperature and ventilation. There were a variety of age-appropriate toys and equipment in the home which were in good condition. When a child is feeling sick, isolation area is in the dinning room or outdoors. Last practice fire drill was conducted on 03/20/2024. Emergency drills must be conducted at least once every six months and should be properly logged. There are no pools, and bodies of water in the premises. Per license, she provides food, children are provided with lunch and two snacks. All cleaning supplies, poisons and other chemicals were stored inaccessible to children. Discipline Policy was discussed. Children sleep in a mat and mats are stored in bedroom #3. Per licensee, while children are asleep, licensee is present in the room, and logging 15 min sleep log for infant child. LPAs notified licensee that sleep sacks are no longer allowed. (Continue to Page 2.....)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8827
LICENSING EVALUATOR NAME: Melissa Zaragoza	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

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: ORDONEZ, JANIRE	FACILITY NUMBER: 414002798
	VISIT DATE: 05/01/2024

NARRATIVE

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There was a fully charged fire extinguisher, a dual smoke and carbon monoxide alarm, and a working telephone on site. Phone number listed for Licensee is current. Per Licensee, there are no weapons/firearms in the home. LPA observed required licensing documents to be properly posted. LPAs reviewed five children's' record which were complete. LPAs also reviewed facility records. Licensees CPR & First Aid Certificate will expire 04/26. Licensee's Mandated Reporter Training certificate will expired on 06/25. LPA reminded licensee to renew Mandate reporter certificate every 2 years.

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, 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 Child Care Center. 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.

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 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.

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SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8827
LICENSING EVALUATOR NAME: Melissa Zaragoza	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

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

FACILITY NAME: ORDONEZ, JANIRE	FACILITY NUMBER: 414002798
	VISIT DATE: 05/01/2024

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are 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, Janire Ordonez, confirmed that there are no Registered Sex Offenders living in the facility.

No deficiencies were cited today under CCR, Title 22, Div. 12, Chapt. 1.

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

Exit interview conducted and report was reviewed with licensee, Janire Ordonez.

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8827
LICENSING EVALUATOR NAME: Melissa Zaragoza	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

LIC809 (FAS) - (06/04)

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