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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004155
Report Date: 04/03/2024
Date Signed: 04/03/2024 11:16:24 AM


Document Has Been Signed on 04/03/2024 11:16 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:BOBEICA, DINAFACILITY NUMBER:
414004155
ADMINISTRATOR:BOBEICA, DINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(347) 681-1423
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY:14CENSUS: 6DATE:
04/03/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Dina BobeicaTIME COMPLETED:
11:45 PM
NARRATIVE
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On April 3, 2024, at approximately 9:00 AM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced, annual inspection. LPA met with licensee, Dina Bobeica, and explained the purpose of the inspection. Present during LPA’s visit included licensee, assistant and 8 enrolled preschool children. LPA observed a cat. Per licensee, her pet has all needed vaccines. The licensee is a large license and is operating within capacity limits and ratio.

Hours of operation are Monday to Friday from 8:00am to 6:00pm. Licensee lives in a single level home with spouse and minor child. All adults living in the home have fingerprint clearance on file. This home includes three bedrooms, two bathrooms, two living rooms, kitchen/dining area, garage, and backyard.


Day Care Areas: both living rooms, kitchen/dining area, bedroom #2 (napping room only, currently not being used), bathroom and backyard.
Off-Limit Areas: bedroom #1, master bedroom, and garage.

At approximately 9:30 AM, LPA toured day care areas of home with licensee. LPA observed the home to be in good repair with proper temperature and ventilation. Home is equipped with a variety of toys and materials that were observed to be in good working condition. LPA observed a fully stocked accessible first aid kit. LPA did not observe any accessible cleaning supplies, poisons, and solutions in day care areas. LPA observed a fireplace in first living room area was properly barricaded and made inaccessible to children in care. Home is equipped with a fully charged fire extinguisher and multiple carbon monoxide detectors. LPA tested carbon monoxide detector in second living room (main day care room), which was observed to be working. LPA did not observe any hazardous materials in main day care areas. Licensee does not have any children in care with allergies or IMS plans. Per licensee, she provides food for all the children in care.

At approximately 10:00 AM, LPA observed bathroom for children's use was in proper working condition. LPA observed bathroom to include appropriate toileting equipment and sanitation products. Per licensee, she has few children in care that use the bathroom, and adult is always present. Per licensee, most of the children in her care use the portable toilets. LPA did not observe any hazardous materials to be accessible to children in the bathroom.

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SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Janet GilTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4


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: BOBEICA, DINA
FACILITY NUMBER: 414004155
VISIT DATE: 04/03/2024
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The entire backyard is fully enclosed. The outdoor area is equipped with a variety of toys and materials. LPA did not observe pools, spas or bodies of water.

At approximately 10:30 AM, LPA reviewed six children records which were not complete. The children’s files have a record of emergency identification information and required immunization. Per licensee she does not have Day Care insurance and two of her children’s files were missing LIC 282. LPA reviewed staff records for licensee and present assistant which were not complete. Licensee's CPR/First Aid is current and will expire 10/22/2024. The licensee’s Mandated Reporter training certification is not current and will expire on 10/18/2023. Assistant staff also does not have the correct Mandated Reporter Training in file. Type B deficiency is being issued on this day in accordance with the California Code of Regulations, Title 22, see LIC 809D.The licensee has required immunization available for review for herself, but not for her assistant. Type B deficiency is being issued on this day in accordance with the California Code of Regulations, Title 22, see LIC 809D.

Licensee has licensing documentation properly posted and available for review. The licensee also maintains a childcare roster that was made available for review. Emergency disaster drills are conducted at least once every six months. The last disaster drill was conducted in October 8, 2023. Per licensee, there are no weapons or firearms in the home.

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 living or working in the home, 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 licensed Family Child Care Home. 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.

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SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Janet GilTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: BOBEICA, DINA
FACILITY NUMBER: 414004155
VISIT DATE: 04/03/2024
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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-andresources/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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee, Dina Bobecia, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

** See following page for deficiencies cited against the facility 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 the licensee, Dina Bobecia.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Janet GilTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 04/03/2024 11:16 AM - It Cannot Be Edited

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: BOBEICA, DINA
FACILITY NUMBER: 414004155

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in not having valid Mandated Reporter Training avalible to the department for herself and assitant which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/04/2024
Plan of Correction
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Per lisencee, she will complete Mandated Reporter Training by the end of the day on 4/3/2024 and send it to LPA Gil via email.Her assitant plans to do the same.
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in not having avalible immunization records of her staff for the department which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/04/2024
Plan of Correction
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Lisencee plans to obtain assitant's immunization records and send them to LPA Gil via email by next week.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Janet GilTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4