414004099-3-15-2023-05-CC-MOLN-CPXP64-20230315110143

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004099
Report Date: 03/15/2023
Date Signed: 03/15/2023 11:01:51 AM

Document Has Been Signed on 03/15/2023 11:01 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:	ESGUERRA, ANTHONY & SUSPINE, DAY ANNE		FACILITY NUMBER:	414004099
ADMINISTRATOR:	ESGUERRA, A. & SUSPINE, D.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 235-9420
CITY:	FOSTER CITY	STATE: CA	ZIP CODE:	94404
CAPACITY:	14	CENSUS: 3	DATE:	03/15/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:26 AM
MET WITH:	Day Anne Esguerra		TIME COMPLETED:	11:15 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 March 15, 2023, at 8:30 AM, Licensing Program Analyst (LPA) Maria Olguin-Leon met with licensee, Day Esguerra(Suspine) for unannounced annual inspection. Purpose of visit was explained. Present for todays visit was licensee and 4 infants and 1 preschooler. Helper Samantha arrived at 9:50 AM. Facility is in compliance with capacity/ratios today. Hours of operation are Monday – Friday 7:00 AM to 6:00 PM. LPA and Licensee toured the home for health and safety hazards. Daycare area are: Living room, Dining room, Kitchen and bedroom #1. Off limits area are: Garage and Master Bedroom. Backyard and Deck are used for daycare. Backyared has concrete patio and grass area and is equipped with plenty of toys. Home is clean with proper ventilation. There are plenty of age-appropriate toys, playpens and learning materials all in good repair. There are no pools or bodies of water. Per licensee there are no weapons in the home. Fireplace in living room is properly barricaded. All cleaning supplies and toxins are properly stored in locked cabinets in kitchen. The home is equipped with a fully charged fire extinguisher(located under sink in locked cabinet), two working carbon monoxide detector and two smoke detector. LPA reminded Licensee to replace batteries regularly. Last emergency drill was conducted on 03/10/2023. CPR/First Aid is current until 09/17/2024. Per licensing Mandated Reporter was completed recently, due to printing issue is unavailable. Licensee will email copy to LPA. First Aid kit is available and isolation area for sick children will be in bedroom #1. LPA reviewed 3 children’s records. All the children's records were complete. The home has all necessary paperwork posted. Licensee was given a copy of LIC126. Licensee provides breakfast, lunch and snacks. LPA discussed the safe sleep regulations with licensee Day Esguerra 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. Cont. page 2...

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

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: ESGUERRA, ANTHONY & SUSPINE, DAY ANNE	FACILITY NUMBER: 414004099
	VISIT DATE: 03/15/2023

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.

Licensee was reminded that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility, unless he or she has been immunized for influenza, pertussis and measles or qualifies for an exemption pursuant to Health and Safety Code 1596.7995 and 1597.662.

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 ate (800)514-0301(voice)/ (800)514-0383(TTY) and link to publication: Commonly Asked Questions and Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA also informed the 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.

The Licensee was reminded about the Provider Information Notices (PINs) on the CCLD website. Licensee was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. LPA reviewed AB 1207 with the Licensee. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

LPA encouraged the Licensee to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. The Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

Cont. page 3...

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

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: ESGUERRA, ANTHONY & SUSPINE, DAY ANNE	FACILITY NUMBER: 414004099
	VISIT DATE: 03/15/2023

NARRATIVE

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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

No deficiencies issued today.

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

Exit interview conducted and report was reviewed with the license, Day Esguerra.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

LIC809 (FAS) - (06/04)

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