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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005618
Report Date: 07/22/2024
Date Signed: 07/22/2024 10:46:32 AM

Document Has Been Signed on 07/22/2024 10:46 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:SILVA, MARIANNE C.FACILITY NUMBER:
214005618
ADMINISTRATOR/
DIRECTOR:		MARIANNE C. SILVAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 573-5056
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 1DATE:
07/22/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Licensee, Marianne SilvaTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 7/22/2024, at approximately 9:00AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Licensee, Marianne Silva (L1) and explained the purpose of the visit. Present during the visit was L1, a helper, a resident, and one infant. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 7:30AM to 5:30PM.

Daycare Areas: Living Room, Dining Room, Bedroom #1 (used for napping only), Bathroom #1, and the Backyard.
Off-limits Areas: Bedroom #2, Bedroom #3, Bathroom #2, Kitchen, sectioned off area of the Backyard, and the Garage.

LPA and L1 inspected the home for any health or safety hazards. The facility is equipped with fully charged 2A10BC fire extinguishers. There is an operational carbon monoxide detector in the Living Room. Emergency exits are clearly marked and visible. Evacuation routes are posted and accessible for review. Electrical outlets are covered or obstructed by furniture when not in use to be inaccessible to children in care. There is a fireplace that is covered. Poisons, cleaning detergents and other chemicals are stored inaccessible to children.

LPA observed the daycare areas to be equipped with age-appropriate toys and learning materials. Furniture is age-appropriate and free of rough or sharp edges. The facility has cots, mats, and pack-and-plays available for children to nap on. LPA observed there to be at least one pack-and-play available for each infant. Blankets and bedding are provided by the facility and cleaned as needed. Food is provided for children in care. Children bring water bottles from home, and they are refilled at the facility.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 07/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2024
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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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: SILVA, MARIANNE C.
FACILITY NUMBER: 214005618
VISIT DATE: 07/22/2024
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LPA observed the Backyard to be free of debris and other loose articles. The Backyard is enclosed by a fence that is at least four feet high. LPA observed age-appropriate toys and equipment for children in care. There is a play structure that is intended for use by children ages 2.5 and up. The play structure is cushioned with resilient padding. There is shade available with tarps. There are no pools or other similar bodies of water present in the facility.

During the visit, L1 stated that they intended to add a sectioned off area of the Backyard to the daycare areas. LPA inspected the requested area and found it to be equipped with a sandbox and age-appropriate equipment. L1 stated that resilient padding would be added. LPA requested that pipes and grates be gated or barricaded to render them inaccessible to children during play. L1 stated that they understood.

LPA reviewed two staff files, seven children’s files, and facility records. L1’s Pediatric First Aid/CPR is current and expires 3/2026. L1’s Mandated Reporter Training is current and expires 10/2025. LPA observed all children’s files to be complete. Infant sleeping logs were maintained and observed to be current. LPA observed all required postings to be posted and accessible for review immediately upon entry to the facility. The last emergency drill was conducted on 5/22/2024. Drills are properly logged and documented.

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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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2024
LIC809 (FAS) - (06/04)
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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: SILVA, MARIANNE C.
FACILITY NUMBER: 214005618
VISIT DATE: 07/22/2024
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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 child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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

No deficiencies were cited during today’s visit on 7/22/2024. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Marianne Silva.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2024
LIC809 (FAS) - (06/04)
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