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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005430
Report Date: 07/24/2024
Date Signed: 07/24/2024 11:41:24 AM

Document Has Been Signed on 07/24/2024 11:41 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:LOVE, ELIZABETH S.FACILITY NUMBER:
214005430
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
07/24/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:56 AM
MET WITH:Elizabeth LoveTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On July 24, 2024 at 10:50 AM, Licensing Program Analysts (LPAs) Garcia and Basak, conducted an unannounced, plan of correction (POC) visit. LPAs met with Licensee, Elizabeth Love, and explained the purpose of the visit. Present during LPA visit included Licensee, 1 teenage helper and 7 enrolled children (all school age children).

On July 16, 2024, LPA Garcia met with licensee to conduct an unannounced, annual inspection visit. During annual visit, LPA observed facility to be operating over capacity with 10 enrolled children, all school aged children. LPA issued a Type A citation for operating over licensed capacity limits. A POC was developed with licensee.

As of this date, LPA observed the licensee to be operating with 7 enrolled children, all school aged children. LPA observed licensee to be operating within licensed capacity limits on this date.

During today's visit, LPA observed that there are different children enrolled. Due to the Licensee's program, her enrollment changes every week. LPA informed licensee to send the signed Acknowledgement of Receipt of Licensing Reports (LIC9224) for enrolled children for this week. LPAs inpsected day care areas and photographed this week's roster of the facility.

Deficiency cited on July 16, 2024 has been cleared as of this date. LPA provided licensee copy of POC letter. No deficiencies were cited 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 licensee, Elizabeth Love.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2024
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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