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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380506534
Report Date: 06/04/2024
Date Signed: 06/04/2024 02:25:43 PM

Document Has Been Signed on 06/04/2024 02:25 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:SULLIVAN, PATRICIAFACILITY NUMBER:
380506534
ADMINISTRATOR/
DIRECTOR:		SULLIVAN, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 661-6124
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
06/04/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Matthew Sullivan and Patricia SullivanTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On June 4, 2024., Licensing Program Analyst (LPA) Van conducted a required inspection and met the Licensee, Patricia Sullivan. LPA explained the purpose of the inspection to the Licensee and was given access to the home. The children were playing in the public park and returned during the visit. The licensee and four helpers supervised eleven children, two infants and nine preschool-age children. The facility complies with the licensing capacity and limits today. All adults present at the facility during the inspection have had criminal clearance verified by the CDSS Guardian Background System.

There are no changes to the childcare areas previously approved, with the same off-limits and childcare areas. Childcare Areas are on the lower level only, including the Living room/playroom, kitchen, half bathroom, and backyard. Off-limit areas are the Entire upper level of the home. All off-limit areas, including closets, are adequately barricaded, and the areas are inaccessible to children. The Licensee has valid childcare liability insurance on file.

LPA inspected the childcare areas for any potential dangers to health and safety hazards. LPA observed that the childcare areas were in good condition. There were age-appropriate toys, books, and learning materials for children. The home has appropriate heating, lighting, and ventilation, and no potential hazards could endanger children in care. LPA noticed that the fireplace had been permanently barricaded. The licensee used plywood to build around it, turning the space into a toy storage area. There is a carbon monoxide detector and smoke detector at the home. Licensee had a fully charged fire extinguisher that met the minimum standard of 2A 10 BC.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SULLIVAN, PATRICIA
FACILITY NUMBER: 380506534
VISIT DATE: 06/04/2024
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According to the licensee, cleaning agents and detergents were observed stored in the garage, which was inaccessible to children. The licensee stated that no firearms or weapons were present at the home. LPA did not observe baby walkers, bouncers, or similar equipment in the childcare areas, and the Licensee was reminded that smoking is prohibited in the family childcare home.

The backyard was completely fenced with age-appropriate toys and was clear of any dangers or clutter that could be harmful to the children in the facility. LPA noticed a play structure in the backyard within the sandy area. The LPA advised the Licensee to check the sandy area daily before allowing the children to use it.

The licensee has a portable playpen that is assembled before the infant takes a nap. During the visit, LPA asked the licensee to set up the playpen. Licensee mentioned that she doesn't use any toys, blankets, or pillows when the infant is napping. LPA noticed that the padding was correctly fitted to the dimensions of the playpen. The licensee informed LPA that she doesn't use a bedsheet. The licensee was reminded to consistently maintain the infant's sleeping log with check dates and make it available for review. Additionally, the licensee was advised to keep the records for at least 30 days. According to the licensee, the facility currently uses Care Connect to record the 15-minute infant checks. During the visit, the staff demonstrated to the LPA how they document the checks. However, they were unable to show the history of the documentation.

All the required posting documentation, such as the facility license, Notification of Parental Rights, and Earthquake Preparedness Checklist, have been placed in a prominent area for parents or representatives to review. Licensee stated that fire and earthquake drills are conducted at least once every six months. The latest drills were completed on 4/16/2024.

The licensee and all helpers maintained complete records and met all the necessary licensing requirements, including completing required immunizations, mandated reporter training, and maintaining valid Pediatric CPR/First Aid certifications.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024
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: SULLIVAN, PATRICIA
FACILITY NUMBER: 380506534
VISIT DATE: 06/04/2024
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Random children's records were reviewed during the visit. Children’s records were found to have vaccination records, parental rights forms, and emergency information. These emergency documents contain information such as the child's full name, phone number, and the location of a parent or authorized person who may be contacted in an emergency.

During the inspection, LPA reviewed forms/records to keep in your family's child care homes, children's forms/records, and personnel forms/documents with the Licensee. In addition, license capacity and limitations were also reviewed with the licensee.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with the Licensee and discussed the Child Care Licensing Safe Sleep webpage https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the 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 Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: www.ada.gov/childqanda.htm.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024
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: SULLIVAN, PATRICIA
FACILITY NUMBER: 380506534
VISIT DATE: 06/04/2024
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Licensee was reminded about the Provider Information Notices (PINs) on the CCLD website. Licensee was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

LPA reviewed AB 1207 with the Licensee. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

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

A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted, and the report was reviewed with the Licensee, Patricia Sullivan.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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