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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380505406
Report Date: 06/11/2024
Date Signed: 06/11/2024 01:17:29 PM

Document Has Been Signed on 06/11/2024 01:17 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SIHARATH, ANGELA & SIHARATH, SANDRAFACILITY NUMBER:
380505406
ADMINISTRATOR/
DIRECTOR:		SIHARATH, ANGELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 318-6480
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY: 12TOTAL ENROLLED CHILDREN: 7CENSUS: 7DATE:
06/11/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Sandra SiharathTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with a licensees, Sandra Siharath, Angela Siharath and a licensee's father (helper), and explained the purpose of the inspection to them. All adults have fingerprint clearance. LPA observed 7 children that included 3 infants with a helper and the licensee during the inspection. Licensees own and live with a licensee's husband/father in this 2 stories single family house that has 3 bedrooms, 1 bath, kitchen, dining room, & living room on the upper lever; the lower level has a garage that was converted into a day care area with 2 rooms, & 1 bath. The day care areas are the entire lower level, front and backyard. The off-limit area is the entire upper level. LPA inspected the facility for health and safety hazard. The house was clean and in order. Lighting and temperature were adequate. All toxins and harmful items were either locked and made inaccessible to children. There were plenty of age appropriate toys, books, learning materials, and furniture available for children. Carpet and soft cushioning were installed to the floor to prevent injury. Cubbies were available for children to story their belongings in day care area. There were working telephone, fully charge fire extinguisher 2A10BC, and first aid supplies available in day care area. Smoke and carbon monoxide detectors were not tested due napping during inspection. Cots, & play pens were available as the napping equipment. The outdoor area was completely fenced. Soft cushioning was installed to the entire ground to prevent injury. There were outdoor toys, play houses, ride-on toys, and gardening areas available for children. The children bathroom was clean and free of hazard. Licensees had current first aid and CPR training that will expire in 5/2025, and Child Abuse Mandated Reporter Training (AB1207) that will expire in 7/2024.. Disaster drill was conducted at least 2 times per year. Per licensee, there were no guns, no weapons and no pets in the house. Per licensee, there were no children on special medication. All required postings were posted. LPA reviewed the children's records and 15 minutes nap check log during the inspection, and obtained a copy of the roster during inspection. .

continues in LIC 809C
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/11/2024
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SIHARATH, ANGELA & SIHARATH, SANDRA
FACILITY NUMBER: 380505406
VISIT DATE: 06/11/2024
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Criminal Record Clearance - Licensee was reminded that all adults 18 and over living or working in 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.

Safe Sleep - 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 22-02CCP. 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/.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SIHARATH, ANGELA & SIHARATH, SANDRA
FACILITY NUMBER: 380505406
VISIT DATE: 06/11/2024
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MyChildCarePlan.org – 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.

Megan’s Law - During the exit interview, Sandra Siharath, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days.

Exit Interview - Exit interview conducted and report was reviewed with the licensee, Sandra Siharath.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024
LIC809 (FAS) - (06/04)
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