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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380504742
Report Date: 03/04/2025
Date Signed: 03/04/2025 04:02:32 PM

Document Has Been Signed on 03/04/2025 04:02 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:CCFC-EDDYFACILITY NUMBER:
380504742
ADMINISTRATOR/
DIRECTOR:		DAVIDSON, FONDAFACILITY TYPE:
850
ADDRESS:1672 EDDY STREETTELEPHONE:
(415) 567-9126
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94115
CAPACITY: 50TOTAL ENROLLED CHILDREN: 10CENSUS: 10DATE:
03/04/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:55 PM
MET WITH:Director, Estrellita "Ester" GuirreTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 3/4/2025, at approximately 1:05PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Director, Estrellita Guirre (D1), and explained the purpose of the visit. Present during the visit was Director, five staff members, and ten preschool age children. The facility is in compliance with staffing and ratio requirements on this day. This facility is located on the premises of a complex. The facility’s operating hours are from 7:30AM to 5:30PM.

LPA and D1 inspected the facility for any health or safety hazards. LPA observed the surface of the facility to be free of debris. There are three fire extinguishers that are size 3A40BC present in the facility. There is a carbon monoxide detector present. There are fire alarms and smoke detectors present throughout the facility. Electrical outlets are covered or blocked by furniture when not in use. Waste containers are fitted with tight-fitting lids. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. Emergency exits are labeled and visible.

LPA observed there to be age-appropriate toys and learning materials present. Furniture was observed to be age-appropriate and free of rough or sharp edges. There are cubbies available for each child in care. Cubbies are labeled with children’s names. The facility provides cots and bedding for napping children. Bedding is washed once a week, and cots are cleaned as needed. The facility provides lunch and snacks for children in care. Lunch is prepared off-site and delivered to the facility. Snacks are stored at the facility. The facility provides water cups for children in care. Drinking water is provided from a non-contaminating fixture. Medication is stored in a central location that is inaccessible to children in care. LPA confirmed that medication is stored appropriately in its original packaging.





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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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: CCFC-EDDY
FACILITY NUMBER: 380504742
VISIT DATE: 03/04/2025
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The facility shares an outdoor play area with residents of the complex. Per Director, the facility utilizes the outdoor play area in the mornings. LPA observed the surface of the play area to be free of debris and other loose articles. There is a play structure that is cushioned with resilient padding. The play area is partially enclosed by a fence that is at least four feet high. Per Director, exits and entrances are secured with carts, equipment, and placement of teachers during outdoor play. There are no swimming pools or other similar bodies of water present in the facility. There are no firearms stored in the facility.

LPA reviewed four staff files, ten children’s files, and facility records. LPA observed there to be at least one staff member with current Pediatric First Aid/CPR training. All teachers present have current Mandated Reporter Training. Teacher qualifications are available for review. LPA observed all children’s files to be complete. Children are signed in and out of the facility via paper sign-in sheets. LPA confirmed that all children present in the facility were signed in. All required postings were observed to be posted and accessible for review in the entrance of the facility. The facility last conducted an emergency drill on 2/13/2025. Emergency drills are properly logged and documented. The facility last tested its fixtures for lead on 10/29/2022 and found no exceedances of lead in any fixture tested.

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.

Facility representative was reminded that all adults 18 and over, 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 Child Care Center. 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: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
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: CCFC-EDDY
FACILITY NUMBER: 380504742
VISIT DATE: 03/04/2025
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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative 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.

No deficiencies were cited during today’s visit on 3/4/2025. A notice of site visit was given and must remain posted for 30 days.

LPA requested that the following documents be provided via email or mail: an updated director packet for Director, staff handbook, parent handbook, admission agreement, sample activity schedule, and sample menu. LPA requested that all documents be submitted on or before 3/28/2025.

Exit interview conducted and report was reviewed with the facility representative, Estrellita Guirre.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC809 (FAS) - (06/04)
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