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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001043
Report Date: 07/18/2024
Date Signed: 07/18/2024 09:36:13 AM


Document Has Been Signed on 07/18/2024 09:36 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 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:8CENSUS: 1DATE:
07/18/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:34 AM
MET WITH:Cecilia BoyerTIME COMPLETED:
09:50 AM
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On 7/18/2024, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced Plan of Correction (POC) visit to the Family Childcare Home (FCCH) listed above. The first POC visit was conducted on 7/9/2024. This is the second POC visit to follow up on the Type A violation concerning children's personal rights that was cited on 7/2/2024. LPA met with the Licensee, Cecilia Boyer, and explained the purpose of the visit.

One child and two adults (the licensee, and the licensee's assistant) were present in the home.The two adults who were present received criminal record clearance from the department. The licensee holds a small license and is within capacity limits and ratios.

On 7/2/2024, during the complaint investigation, the Licensee was cited for a Type A violation regarding children's personal rights. As part of the correction plan, the Licensee has 24 hours to make the necessary corrections. The Licensee was required to submit a written plan to comply with children's personal rights and to prevent such violations from recurring. During today's visit, the Licensee provided a written statement for the citation that was cited on 7/2/2024.



After reviewing the written statement on children’s personal rights, LPA will clear the deficiency, CCR 102423 during today’s visit.

A copy of today's report was given to the Licensee, Cecilia Boyer. A Notice of Site Visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Cecilia Boyer.

SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2024
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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