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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005398
Report Date: 03/28/2024
Date Signed: 03/28/2024 12:59:08 PM

Document Has Been Signed on 03/28/2024 12:59 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:ALVAREZ, ALCIRAFACILITY NUMBER:
214005398
ADMINISTRATOR:ALVAREZ, ALCIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 728-5449
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY: 10TOTAL ENROLLED CHILDREN: 10CENSUS: 9DATE:
03/28/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:14 PM
MET WITH:Alcira AlvarezTIME COMPLETED:
01:14 PM
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On 3/28/2024, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced plan of correction visit (POC) to the Family Childcare Home (FCCH) listed above. The purpose of the visit was to follow up with a Type A violation involving detergents and chemicals being accessible to children, which occurred on 3/15/2024. During the visit, LPA met with the Licensee, Alcira Alvarez, and explained the purpose of the visit. During the visit, nine children (four infants and five preschool-aged) and two staff members were present. The licensee and the two staff members present at the FCCH have all received criminal record clearance from the department. The FCCH operates within its capacity and in accordance with the required ratio of staff to children.

Following a thorough walkaround of the FCCH, LPA confirmed that the previously observed items on 3/15/2024, including bleach, laundry detergent, glass cleaner, toilet cleaner, and a Lysol disinfectant spray, were not found inside the unlocked closet. Similarly, a Lysol disinfectant spray and mouthwash were not observed in the Full Bathroom, as was the case during the previous visit on 3/15/2024. This indicates that the corrective measures have been effective in addressing the Type A violation. LPA observed all detergents and chemicals were placed in one of the kitchen cabinets, where it was inaccessible to children.

The Type A deficiency that was cited on 3/15/2024, has been resolved during the visit.

A Cleared POC letter was given to the Licensee, Alcira Alvarez.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Alcira Alvarez

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2024
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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