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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004158
Report Date: 12/14/2023
Date Signed: 12/14/2023 05:14:58 PM


Document Has Been Signed on 12/14/2023 05:14 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:MONEYHUN, SANTOS VICTORIAFACILITY NUMBER:
414004158
ADMINISTRATOR:MONEYHUN, SANTOS VICTORIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 520-9802
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY:14CENSUS: 8DATE:
12/14/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
04:11 PM
MET WITH:Santos Victoria Moneyhun TIME COMPLETED:
05:20 PM
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On December 14, 2023., Licensing Program Analysts (LPA) Tso met with the Licensee, Santos Victoria Moneyhun for an unannounced inspection of the Plan of Correction (POC). The purpose of the inspection was explained, and the Licensee granted LPA entry to the home. There were eight children in care with the Licensee and 2 assistants.

During the required annual inspection on November 15, 2023, the Licensee received citations for several deficiencies. Two of the Type B were cited deficiencies were the licensee fails to open the napping room door during the infant napping time (the door was opened immediately upon November 15, 2023, visit. The licensee also conducted a meeting with their staff to review the requirements of safe sleep, where the meeting minutes was emailed to LPA on November 28, 2023). Moreover, the licensee did not comply with the section cited above in putting a bottle of cleaning product in the lower cabinet of the bathroom without locked.

During today's inspection, LPA observed that the lower cabinet in the bathroom that storing the cleaning products was locked with a child-proofed lock.

Deficiencies cited on November 15, 2023, were cleared today. Plan of Correction letters were provided to the Licensee.

No deficiencies were cited during today’s visit. A notice of site visit was provided and must remain posted for 30 days.

Exit interview was conducted with the Licensee, Santos Victoria Moneyhun.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Man TsoTELEPHONE: (650) 379-9021
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2023
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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