414003045-4-27-2023-05-CC-CQUO-CRANMX-20230427103551

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414003045
Report Date: 04/27/2023
Date Signed: 04/27/2023 10:35:58 AM

Document Has Been Signed on 04/27/2023 10:35 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	TSENDJAV, OYUNDELGER		FACILITY NUMBER:	414003045
ADMINISTRATOR:	TSENDJAV, OYUNDELGER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 316-9365
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94015
CAPACITY:	14	CENSUS: 6	DATE:	04/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:20 AM
MET WITH:	Oyundelger Tsendjav		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 April 27, 2023 at approximately 8:20am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with licensee, Oyundelger Tsendjav, and explained the purpose of the inspection. Present during LPA's included licensee, licensee's spouse/assistant, and 6 enrolled children (4 infants and 2 preschool age). Licensee is a large family child care home and is operating within capacity limits and ratio during LPA's visit. All adults living and/or working in the home have fingerprint clearance on file. Hours of operation are Monday through Friday 7:00am to 6:00pm. Licensee lives in the multi-level home. Day care operates on ground floor only. The DAY CARE AREAS are the living room (main day care area), dining room (napping area), bathroom and portion of backyard. The OFF LIMIT AREAS are all bedrooms, kitchen, garage and portion of backyard (with unit). All off limit areas are made inaccessible with child safety gates. LPA toured day care areas of home with licensee. LPA observed home to be in good repair with proper temperature and ventilation. There were a variety of toys and equipment that were in good working condition. Main day care area includes a fireplace that was observed to be properly barricaded. Electrical outlets in day care areas were made inaccessible with child safety covers and/or covered by furniture. Flooring is cushioned with rugs and carpet for walking, crawling infants. LPA observed cleaning supplies, poisons and other chemicals to be stored inaccessible in home's high shelves. Bathroom for children's use was observed to be in proper working condition. Bathroom is equipped with appropriate toileting equipment and appropriate sanitation products. Home is equipped with a first aid kit, fire extinguisher, working smoke detectors and a working carbon monoxide detector. Per licensee, there are no weapons or firearms in the home. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

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: TSENDJAV, OYUNDELGER	FACILITY NUMBER: 414003045
	VISIT DATE: 04/27/2023

NARRATIVE

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Entire backyard is fully enclosed with an at least 4 ft. high fence. LPA observed backyard area to include age appropriate toys and materials that were in good condition. Backyard also includes play structures that were observed to have resilient padding underneath. LPA did not observe any pools, spas or bodies of water on site.

LPA reviewed six children's files. Children's files have a record of emergency identification information on file. Both licensee's and licensee's spouse have current CPR certifications that will expire 04/2025. LPA observed proof of required immunizations for licensee and licensee's spouse.

Licensee stated emergency disaster drills are conducted twice a month. Last emergency disaster drill was conducted 04/17/2023. LPA reminded licensee emergency disaster drills must always be documented after they are conducted. LPA observed required licensing documentation to be properly posted and available for review in home.

LPA reminded licensee about Mandated Reporter training available www.mandatedreporterca.com. Licensee was reminded Mandated Reporter training must be renewed every 2 years and all staff whom directly work with children must complete training.

Licensee was reminded, as of September 1, 2016, all Staff and Volunteers must provide proof of immunization against pertussis, measles, and influenza, or qualifies for an exemption, pursuant to Health and Safety code 1596.7995 and 1597.622.

Incidental Medical Services (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 Centers and the ADA, available at: www.ada.gov/childqanda.htm.

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.
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SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

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: TSENDJAV, OYUNDELGER	FACILITY NUMBER: 414003045
	VISIT DATE: 04/27/2023

NARRATIVE

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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.

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.

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

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee, Oyundelger Tsendjav.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

LIC809 (FAS) - (06/04)

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