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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001043
Report Date: 10/27/2023
Date Signed: 10/27/2023 04:55:40 PM

Document Has Been Signed on 10/27/2023 04:55 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:BOYER, CECILIA DEL CARMENFACILITY NUMBER:
384001043
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
10/27/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Cecilia BoyerTIME COMPLETED:
05:15 PM
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On October 27, 2023., Licensing Program Analyst (LPA) Van met with the Licensee, Cecilia Boyer, for an unannounced inspection of the Plan of Correction (POC). This is a continuation of the morning attempted visit where the Licensee requested LPA return in the afternoon as she was taking the children to the zoo. The purpose of the inspection was explained, and the Licensee granted LPA entry to the home. There were two children in care with the Licensee and a helper today.
During the annual inspection on October 3, 2023, the Licensee was found to have multiple deficiencies. These included the failure to conduct fire and earthquake drills every six months, expired mandated reporter training AB 1207, and missing immunization records for both enrolled children and the Licensee herself. Additionally, a type A citation was issued, where the Licensee had Lysol wipes and hand sanitizers accessible to children in the bathroom.

During today's inspection, the Licensee and children's records were reviewed, and their records were found to be in order. The Licensee had a proper immunization record and completed the Mandated Reporter training. The children's records were also up-to-date and complete. The fire and earthquake drills log were appropriately documented and maintained. These deficiencies cited during the inspection on October 3, 2023, have been cleared today.


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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2023
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: BOYER, CECILIA DEL CARMEN
FACILITY NUMBER: 384001043
VISIT DATE: 10/27/2023
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During the physical plant inspection, it was observed that hand sanitizer was stored on top of the toilet tank, which children could access. The licensee explained that a parent had used it earlier in the day and forgot to place it back on the high shelf. Moreover, disinfectant and cleaning products, such as Lysol toilet cleaner and Mr. Clean, were found under the sink without child-proof latches, making them easily accessible to children. The licensee immediately removed the mentioned products to the off-limit area and locked it up. LPA reminded the Licensee that all cleaning products or disinfectants should always be stored inaccessible to children. LPA will return to ensure and verify that all cleaning products are stored in a safe and inaccessible to children.

An exit interview was conducted with the Licensee, and a consultation was provided. The Licensee, Cecilia Boyer, read and signed the report. Today's report and notice of the site were provided to the Licensee. LPA informed the Licensee that a site visit notification must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
LIC809 (FAS) - (06/04)
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