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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214200015
Report Date: 04/19/2024
Date Signed: 04/19/2024 10:30:12 AM

Document Has Been Signed on 04/19/2024 10:30 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:BATES, LINDAFACILITY NUMBER:
214200015
ADMINISTRATOR/
DIRECTOR:		BATES, LINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 381-8399
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/19/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Licensee, Linda BatesTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
NARRATIVE
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On 4/19/2024, at approximately 9:05AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Licensee Linda Bates (L1). LPA explained the purpose of the visit. Present during the visit was L1. There were no children in care on this day.

Daycare Areas: Playroom (located in Bungalow in the Backyard), Bathroom (in the home), and Backyard.

Off-limits Areas: Bedroom #1, Bedroom #2, Bedroom #3, Kitchen, Living Room (Pass Through Only) and Bathroom #2.

LPA inspected the home for any health or safety hazards. LPA observed the daycare areas to be in clean and orderly condition. There is a carbon monoxide detector present that was demonstrated to be operational. There is a fully charged 2A10BC fire extinguisher present in the Playroom. Furniture is age-appropriate and free of rough or sharp edges. There is no fireplace in the home. Electrical outlets are covered or obstructed when not in use to be inaccessible to children in care. There is a first aid kit present in the Playroom that contains bandages and gauze.

LPA observed toys and learning materials to be present in the Playroom. Per L1, they intend to enroll children from 2.9 years to 6 years old. There are mats available for children to nap on. Children will bring bedding from home and take it back once a week to be cleaned. Children will bring lunch from home and the facility will offer snacks. Per L1, there are no firearms or weapons stored in the home.


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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2024
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: BATES, LINDA
FACILITY NUMBER: 214200015
VISIT DATE: 04/19/2024
NARRATIVE
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LPA observed the Backyard to be enclosed by a fence that is at least four feet high. There is a play structure in the Backyard. Per L1, the intended age group for the play structure is children ages three and up. LPA observed there to be padding in the form of grass. There is a sandbox in the Backyard that is covered and checked for animal droppings or waste daily. There are no pools or other bodies of water present in the facility.

LPA reviewed Licensee’s records and facility records. No children’s files were reviewed during today’s visit. Licensee’s First Aid/CPR training expires 5/2024. Licensee’s Mandated Reporter Training expires 5/2024. All adults living or working in the home have acquired fingerprint clearance and are associated to the facility. LPA observed all required postings to be posted and accessible for review.

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.

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

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
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: BATES, LINDA
FACILITY NUMBER: 214200015
VISIT DATE: 04/19/2024
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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 4/19/2024.
A notice of site visit was given and must remain posted for 30 days.

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

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
LIC809 (FAS) - (06/04)
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