414004460-6-11-2024-05-CC-CQUO-D65UP9-20240611154509

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004460
Report Date: 06/11/2024
Date Signed: 06/11/2024 03:45:14 PM

Document Has Been Signed on 06/11/2024 03:45 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:	CASTRO, KAREN W.		FACILITY NUMBER:	414004460
ADMINISTRATOR:	CASTRO, KAREN W.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 646-5679
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94014
CAPACITY:	14; 14	CENSUS: 12	DATE:	06/11/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	02:37 PM
MET WITH:	Karen Castro		TIME COMPLETED:	04:15 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 June 11, 2024 at approximately 2:37pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with licensee, Karen Castro, and explained the purpose of the visit. Present during LPA's visit included two assistants and 12 preschool age children. Licensee lives in the home with their parent, spouse and two minor children. All adults living and/or working in the home have fingerprint clearance on file. Hours of operation are Monday through Friday 8:30am to 5:00pm. Home is a multi-level home. The DAY CARE AREAS are located on the ground level of the home only that includes bedroom #1 (nap room), bedroom #2 (play room), kitchenette, main classroom, hallway bathroom, and backyard. The OFF LIMIT AREAS are the garage (ground floor), office (ground floor) and entire second level of home. All off limit areas are properly barricaded with child safety gates and/or child safety handles. Home includes a staircase that is made inaccessible with child safety gates. LPA inspected day care areas, indoors and outdoors, for health and safety hazards. LPA observed home to be in good repair. There are a variety of toys, materials and equipment that are in good condition. LPA observed cleaning supplies, solutions and poisons inaccessible behind child safety locked cabinets and/or located in home's high shelves. LPA observed kitchenette cabinets to have child safety locks installed. Home is equipped with multiple fire extinguishers, multiple fully stocked first aid kits and multiple dual smoke/carbon monoxide detectors. Carbon monoxide detector was tested during LPA's visit and was observed to be working. Bathroom for children's use was observed to be in working condition and equipped with appropriate toileting equipment. LPA observed low cabinets in bathroom to have child safety locks installed. Garbage bins were observed to have tight fitting lids. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

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 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: CASTRO, KAREN W.	FACILITY NUMBER: 414004460
	VISIT DATE: 06/11/2024

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
26
27
28
29
30
31
32

(Continued, Page 2...)
Children sleep in nap room. LPA observed sleeping cots to be utilized for napping children. Children's sheets are placed and kept on their individual cots. Licensee does not currently have any infants enrolled in home. Children who do not nap are able to play in the play room or backyard. Per licensee, sheets are sent home to be laundered weekly or as needed.

Backyard is entirely enclosed and fenced. LPA did not observe any pools or bodies of water in the backyard. Backyard is equipped with multiple outdoor toys and equipment that were in good condition. There is a play structure in the backyard that has resilient padding underneath with artificial turf. LPA observed turf to be in good condition.

LPA reviewed five random children’s records. LPA observed children's records to be complete with required immunizations and emergency information. LPA reviewed licensee and staffs' files. LPA observed staff files to also be complete with required immunizations. All staff present have a current CPR/First Aid certification that will expire 12/2025.

Licensee has licensing documentation properly posted and available for review. Licensee also maintains a child care roster that was made available for review. Licensee conducts and documents emergency disaster drills. Last disaster drill was conducted 04/17/2024. 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.
(Continue Report on Page 3...)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

LIC809 (FAS) - (06/04)

Page: 2 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: CASTRO, KAREN W.	FACILITY NUMBER: 414004460
	VISIT DATE: 06/11/2024

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
26
27
28
29
30
31
32

(Continued, Page 3...)
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 child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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

No deficiencies were issued today during LPA's visit.

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

Exit interview conducted and report was reviewed with the licensee, Karen Castro.

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

LIC809 (FAS) - (06/04)

Page: 3 of 3