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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002487
Report Date: 04/25/2024
Date Signed: 04/25/2024 11:59:28 AM

Document Has Been Signed on 04/25/2024 11:59 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:LINDSEY, SALINAFACILITY NUMBER:
384002487
ADMINISTRATOR/
DIRECTOR:		LINDSEY, SALINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 678-9615
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94115
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 7DATE:
04/25/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Licensee, Salina LindseyTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On 4/25/2024, at approximately 9:25AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Licensee, Salina Lindsey (L1). LPA explained the purpose of the visit. Present during the visit was L1, two helpers, four preschool age children and three infants. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 7:30AM to 5:30PM.

Daycare Areas: Dining Room, Living Room, and Backyard.
Off-limits Areas: Kitchen and entire upper level of the home.

LPA inspected the home for any health or safety hazards. There is a fully charged 2A10BC fire extinguisher present. There is a carbon monoxide detector present in the facility. LPA observed emergency exits to be clearly marked and labeled. Evacuation routes are posted and available for review. Electrical outlets are covered or obstructed by furniture when not in use to be inaccessible to children in care. There is no fireplace in the daycare areas. Stairs are obstructed and rendered inaccessible to children with the use of a childproof gate.

LPA observed the home to be in clean and orderly condition. There are age-appropriate toys and learning materials present. Furniture is age-appropriate and free of rough or sharp edges. There are cots and cribs available for children to nap on. Bedding is provided by the facility and cleaned as needed. Bedding is stored in labeled containers. Napping infants are supervised by staff. The facility provides breakfast, lunch, and snacks for children in care. The facility currently does not have any children with allergies. If children do have allergies, an allergy list is posted in the Kitchen so that staff are aware of each child’s allergies. Per L1, there are firearms or weapons stored in the home. LPA observed them to be stored inaccessible to children in care in a secured and locked container. Off-limits areas are kept inaccessible to children with the use of childproof gates.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2024
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 3
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: LINDSEY, SALINA
FACILITY NUMBER: 384002487
VISIT DATE: 04/25/2024
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LPA observed the Backyard to be enclosed by a fence that is at least four feet high. LPA observed age-appropriate toys and equipment to be present. There is padding in the form of a foam mat for children to play on. There are two dogs in the home that are kept in the upper level during operating hours. There are no pools or other bodies of water in the facility.

LPA reviewed three staff files, ten children’s files, and facility records. L1’s First Aid/CPR training expires 11/2024. L1’s Mandated Reporter Training expires 8/2024. LPA discussed Mandated Reporter Training requirements with L1. Immunization records and tuberculosis clearances are available for review for all staff present. LPA observed children’s files to be complete. All required postings are posted and available for review upon entry to the facility. The last emergency drill was conducted on 1/26/2024. Emergency drills are properly logged and documented.

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.

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 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.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024
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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: LINDSEY, SALINA
FACILITY NUMBER: 384002487
VISIT DATE: 04/25/2024
NARRATIVE
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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.

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

No deficiencies were cited during today’s visit on 4/25/2024.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Salina Lindsey.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024
LIC809 (FAS) - (06/04)
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