384000813-4-29-2026-05-CC-CQUO-DTLPQ7-20260429113039

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384000813
Report Date: 04/29/2026
Date Signed: 04/29/2026 11:30:51 AM

Document Has Been Signed on 04/29/2026 11:30 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:	GUERIN, DENISE MARIE		FACILITY NUMBER:	384000813
ADMINISTRATOR/ DIRECTOR:	GUERIN, DENISE MARIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 821-7705
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 13	CENSUS: 6	DATE:	04/29/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:30 AM
MET WITH:	Denise Guerin		TIME VISIT/ INSPECTION COMPLETED:	11:40 AM

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 April 29, 2026 at approximately 8:30am, Licensing Program Analyst (LPA) Quimbo conducted an unannounced, annual inspection. LPA met with licensee, Denise Guerin, and explained the purpose of the visit. Upon LPA's arrival, 6 preschool children and two staff were present. Licensee stated majority of children are out due to sickness. Licensee's hours of operation are Monday through Thursday 8:00am to 5:00pm. Licensee lives in the three-level home. The family childcare operates on the second level of the home and the ground level backyard only. LPA observed licensee and staff present have fingerprint clearance on file and are associated to licensee's facility number. The DAY CARE AREAS are living room, play room, hallway bathrooms (separate rooms for toilet and sink), kitchen and backyard. The OFF LIMIT AREAS are bedroom #1 (office), bedroom #2 (licensee's bedroom), dining room, laundry room (pass by to get to backyard), entire third level of home and entire ground level of home (except backyard). Off limit areas are properly barricaded with locked doors and/or doors with child safety locks. There are stairs that lead to the backyard and stairs in the backyard that are both barricaded with a child safety gate and/or a closed door. With licensee, LPA inspected day care areas. Living room and playroom includes children's toys and materials that are age appropriate and in good condition. There are sitter/rocker chairs in the playroom that was observed to have padding attached. There is a rug underneath rocker chairs. Playroom includes toys and materials for dramatic play. Per licensee, toys and materials are sanitized multiple times a day. LPA observed flooring in home be in good condition. Per licensee, flooring in home is swept and vacuumed multiple times a day. (Continue report on page 2...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026

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 5

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)

Page: 2 of 5

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: GUERIN, DENISE MARIE	FACILITY NUMBER: 384000813
	VISIT DATE: 04/29/2026

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
26
27
28
29
30
31
32

(Continued, Page 2...)
Children eat in the kitchen. LPA observed kitchen with age appropriate chairs and table for children's use. Licensee provides a food service that includes breakfast, snacks and lunch. Per licensee, no children currently enrolled have allergies. Reusable dishes and utensils are utilized for children's use that are washed daily in home's dishwasher. LPA observed kitchen's cabinets and drawers to have child safety locks installed. LPA observed poisons, cleaning solutions to be stored behind child safety locks and/or in home's high shelves. LPA also observed knives to be stored in a child safety lock drawer and in far corner of a high counter.

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. LPA observed toilet to be equipped with age appropriate toileting equipment for children's use. There are children enrolled currently in diapers. Both licensee and children's families provide diapers and wipes. LPA observed children's diapers to be individually labeled with their individual names. Bathroom is equipped with a garbage bin with a tight fitting lid to dispose of dirty diapers. LPA also observed cabinets in bathroom to have child safety locks installed.

Children sleep in both the living room and playroom. Licensee provides pack and play cribs and cots for napping children. Licensee also provides sheets and blankets for preschool age children. Per licensee, blankets and sheets are laundered on site weekly. There are no infants currently enrolled in the home. Licensee stated they are aware infants who sleep in cribs must be kept in a crib that is free of loose articles, objects, and materials that include blankets, pillows and sleep sacks.

Although no infants are currently enrolled, licensee maintains sleeping logs from previously enrolled infants. LPA reviewed random sleeping logs from March 2025, June 2025, and September 2025. LPA observed sleeping logs document the date the infant is sleeping, the 15 minute time stamp of when the napping infant is checked on and the initials of the individual checking on the napping infant.

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 and removing any 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.
(Continue report on page 3...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026

LIC809 (FAS) - (06/04)

Page: 3 of 5

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: GUERIN, DENISE MARIE	FACILITY NUMBER: 384000813
	VISIT DATE: 04/29/2026

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
26
27
28
29
30
31
32

(Continued, Page 3...)
Backyard for children's use is fully enclosed and fenced. LPA observed backyard to have outdoor toys and materials for dramatic play and building use. Flooring in backyard includes tanbark and soft padding. Per licensee, outdoor toys and materials are sanitized at least once a week. Licensee's emergency supplies are also located in the backyard, behind a child safety locked gate. Backyard includes an outdoor sink that was observed to be in working condition. LPA did not observe any pools, spas or bodies of water on site.

Home is equipped with multiple fire extinguishers, a fire alarm and smoke and carbon monoxide detectors. LPA tested a carbon monoxide detector during today's visit, which was observed to be working. Licensing documents are posted in the home, made available for review. Licensee maintains a childcare roster that was posted, also made available for review. Emergency disaster drills are conducted and documented. Last documented disaster drill was conducted 2/19/2026. Per licensee, there are no weapons or firearms in the home. If a child comes to the home and becomes ill, the isolation area is the living room, separate from other children in care.

LPA reviewed facility records that included enrolled children's records, staffs' records and licensee's record. Children's records are complete with emergency information and immunization records. Staff present and licensee's records were also complete with required immunizations, current Mandated Reporter certifications and current Pediatric CPR and First Aid certifications. Licensee's Mandated Reporter certificate will expire 3/2028. Licensee's CPR certificate will expire 6/2026. Licensee has also scheduled to renew their CPR certificate.

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.
(Continue report on page 4...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: GUERIN, DENISE MARIE	FACILITY NUMBER: 384000813
	VISIT DATE: 04/29/2026

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
26
27
28
29
30
31
32

(Continued, Page 4...)
During the exit interview, the Licensee Denise Guerin confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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.

No deficiencies were issued during today'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, Denise Guerin.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026

LIC809 (FAS) - (06/04)

Page: 5 of 5