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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384000735
Report Date: 09/08/2025
Date Signed: 09/08/2025 11:11:09 AM

Document Has Been Signed on 09/08/2025 11:11 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:VANEGAS, MIRIAMFACILITY NUMBER:
384000735
ADMINISTRATOR/
DIRECTOR:		VANEGAS, MIRIAMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 285-4067
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
09/08/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Licensee, Miriam VanegasTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
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On September 8, 2025 at approximately 9:25AM, Licensing Program Analyst (LPA) Melissa Zaragoza conducted an unannounced, annual inspection. LPA was greeted and granted access by licensee, Miriam Vanegas. At the entrance the licensee was explained the purpose of the inspection. Present during LPA's visit included the licensee, their sister (staff assistant), and 2 children (1 infant child, and 1 preschool age child).

Hours of operation are Monday through Friday, 8:00am to 5:00pm. Licensee lives in a home with their adult son. All adults living in the home and staff working with children have fingerprint clearance on file.

The DAY CARE AREAS are the living room, room #1 (playroom), and bathroom #1. The OFF-LIMIT AREAS are bedroom #2, bedroom #3, kitchen, and bathroom #2. All off-limit areas are made inaccessible to children in care with child safety gates installed.

LPA toured day care areas of home with the licensee. LPA observed home to be in good repair with proper temperature and ventilation. Home is equipped with a variety of toys and materials that were observed to be in good condition. LPA observed electrical outlets to be made inaccessible to children. Cleaning supplies, poisons and hazardous materials are stored on high shelves, inaccessible to children in care. LPA observed cabinets to be locked with child proof lock.

Home is equipped with a fully charged fire extinguisher and a smoke and carbon monoxide detector. Smoke and carbon monoxide detectors were tested during visit and were observed to be in working condition. LPA observed trash cans with tight fitted lids. There are no pools, and bodies of water in the premises.

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Melissa Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/08/2025
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: VANEGAS, MIRIAM
FACILITY NUMBER: 384000735
VISIT DATE: 09/08/2025
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The napping area was observed to be equipped with mats for napping children. LPA observed each child to have their own individual mat. Children’s mats were observed to be labeled. Per license, they provide sheets and children bring blankets from home. Per license, sheets are washed weekly and children take their blankets home daily.

Bathroom was observed to be in proper working condition. LPA also observed appropriate sanitation and toileting equipment for children in care. LPA observed two changing tables for diapering. Per licensee, the parents the provide diapers and wipes for enrolled children.

Children eat in the living room. Children were observed to have appropriate tables and chairs for eating. Per licensee, they provide a food service of breakfast, lunch, and snack. LPA observed knives to be made inaccessible to children, and kitchen to be off limits, with a child safety gate.

LPA reviewed children’s record. LPA reviewed licensee’s record, which were complete. License has a CPR/First Aid certification and Mandated Reporter certification. Licensee’s CPR/First Aid certification will expire on, 04/2026 and Mandated Reporter certification will expire 11/04/2026.

Emergency disaster drills are conducted and are appropriately documented, last disaster drill was on 08/05/2025. LPA observed licensing documentation to be properly posted, made available for review. Facility maintains a childcare roster once children are enrolled in the family childcare home. Per licensee, there are no weapons or firearms in the home.

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.

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Melissa Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2025
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: VANEGAS, MIRIAM
FACILITY NUMBER: 384000735
VISIT DATE: 09/08/2025
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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://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 22-02-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.

No deficiencies were issued during todays visit.

During the exit interview, the licensee, Miriam Vanegas, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed a Megan’s Law search on 09/08/2025.

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

Exit interview conducted and report was reviewed with the licensee, Miriam Vanegas.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Melissa Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2025
LIC809 (FAS) - (06/04)
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