214200105-5-7-2026-05-CC-NTRN-DTV24N-20260507170413

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 214200105
Report Date: 05/07/2026
Date Signed: 05/07/2026 05:04:36 PM

Document Has Been Signed on 05/07/2026 05:04 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:	JAEGER, HEIDI & WALLY		FACILITY NUMBER:	214200105
ADMINISTRATOR/ DIRECTOR:	JAEGER, HEIDI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 453-9976
CITY:	SAN ANSELMO	STATE: CA	ZIP CODE:	94960
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 8	CENSUS: 5	DATE:	05/07/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:50 PM
MET WITH:	Licensee, Heidi Jaeger		TIME VISIT/ INSPECTION COMPLETED:	05:20 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 May 7, 2026, at approximately 2:50PM, Licensing Program Analysts (LPAs) Nicole Tran and Brendon Van conducted an unannounced, annual inspection. LPAs met with licensee, Heidi Jaeger, and explained the purpose of the visit. Present during LPA’s visit included licensee and 5 children (2 infants and 3 preschool age children). Licensee is a large license and is operating within capacity limits and ratio during LPAs’ visit. Hours of operation are Monday through Friday from 7:30AM to 5:00PM. Licensee lives in a single-family home. All adults living in the home have fingerprint clearance on file. Daycare Areas: Living Room, Dining Room, Kitchen, Bedroom (for napping), Family Room, and Backyard. Off-limits Areas: The entire second floor, Garage, and Pool. Off-limit areas have been made inaccessible with child safety gates and devices. With licensee, LPAs inspected the facility for health and safety hazards. LPAs observed home to be in good condition and free of debris. Home is equipped with a fully charged fire extinguisher at least the size of 2A10BC, fully stocked first aid kits, and a smoke and carbon monoxide detector. Poisons, chemicals, and cleaning detergents have been made inaccessible. Per licensee, there are no weapons or firearms in the home. Continued on Page Two

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Nicole Tran
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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: JAEGER, HEIDI & WALLY	FACILITY NUMBER: 214200105
	VISIT DATE: 05/07/2026

NARRATIVE

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LPAs observed electrical outlets to be barricaded by furniture. Flooring throughout the home includes soft padding that is clean and in good condition. LPAs observed the home to have a variety of toys and equipment that are age appropriate. Children have access to books, manipulatives, and dramatic play materials. There are also areas for rest and relaxation. Licensee provides a full food service as needed. Per licensee, there are no enrolled children with allergies. Drinking water is available from a filtered water pitcher. Children bring their own water bottles from home.

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/.

Bathroom for children’s use was observed to be in working condition and is equipped with age-appropriate toileting equipment. Per licensee, children’s families provide their own diapers and wipes. There are multiple garbage bins with tight fitting lids in the home to dispose of dirty diapers. Children sleep in pack and plays. Licensee provides sheets and blankets for children’s use. Per licensee, linens are laundered by them weekly.

LPAs 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. LPAs 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.

Continued on Page Three

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Nicole Tran
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

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: JAEGER, HEIDI & WALLY	FACILITY NUMBER: 214200105
	VISIT DATE: 05/07/2026

NARRATIVE

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The Backyard is fully enclosed and fenced. There are a variety of outdoor toys and materials that are age-appropriate. There is sufficient shade in the outdoor area from trees and umbrellas. There is a pool in the Backyard that is off-limits. There is a fence that is at least five feet high and the entry point has an alarm that begins making sounds when the gate is opened. The gate is self-closing. There is a section of the gate where the vertical clearance from the gate to the ground is more than 2 inches. LPAs informed licensee that the maximum clearance allowed is 2 inches. Licensee stated that she is planning on replacing the fence and will add a barrier to meet the 2 inch requirement.

LPAs observed a life ring readily accessible near the pool stating it’s a 20 inch size and has been approved by the United States Coast Guard. LPAs also observed a rescue pole with a body hook that is at least 12 feet in length. Licensee has a surface pool alarm (Pool Patrol PA-30) from Pool Patrol that when placed in a swimming pool, will sound upon detecting an entrance into the water. Licensee demonstrated the surface pool alarm’s functionality to LPAs. Per the pool alarm’s paperwork, it is complaint with ASTM International Standard F2208.

LPAs informed licensee that they must also perform daily inspections of the drowning prevention safety features and safety equipment before opening the facility and maintain a log of inspections. LPAs provided licensee with a pool safety log template. LPAs provided licensee with Health and Safety Code 1596.814 “Family daycare home; in-ground swimming pool requirements.”

Licensing documentation is properly posted and made available for review. A childcare roster was also made available for LPAs’ review. Emergency disaster drills are conducted and are appropriately documented. The last disaster drill was conducted on March 11, 2026. Licensee's Mandated Reporter certification is current and expires in March 2028. Licensee's pediatric CPR/First Aid is also current and will expire in November 2027. Licensee has required immunizations and TB clearance available for review.

LPAs reviewed 4 children's records. LPAs observed children's records to be complete and include their emergency identification information and immunization records. LPAs observed 15-minute infant sleep logs being maintained appropriately.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Nicole Tran
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

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: JAEGER, HEIDI & WALLY	FACILITY NUMBER: 214200105
	VISIT DATE: 05/07/2026

NARRATIVE

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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.

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, Heidi Jaeger, confirmed that there are no Registered Sex Offenders living in the facility and LPAs 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, Heidi Jaeger.

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Nicole Tran
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

LIC809 (FAS) - (06/04)

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