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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002487
Report Date: 03/20/2025
Date Signed: 03/20/2025 12:12:32 PM

Document Has Been Signed on 03/20/2025 12:12 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 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) 216-8745
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94115
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 7DATE:
03/20/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Licensee, Salina LindseyTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
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On 3/20/2025, at approximately 9:25AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Licensee, Salina Lindsey, and explained the purpose of the visit. Present during the visit was Licensee, one helper, two infants, and five preschool age children. The facility is operating within staffing and ratio requirements on this day. The facility’s operating hours are from 7:30AM to 5:30PM, Monday to Friday.

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

LPA and Licensee inspected the home for any health or safety hazards. LPA observed the home to be equipped with a fully charged fire extinguisher that is at least size 2A10BC. There are smoke detectors in the home. LPA observed a carbon monoxide detector to be present in the entryway of the home. Emergency exits are clearly labeled and visible. Stairs and off-limits areas are rendered inaccessible with childproof gates. Electrical outlets are covered or blocked with furniture to be inaccessible to children in care. Cabinets and drawers are locked as necessary to be inaccessible. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care.

LPA observed there to be age-appropriate toys and learning materials present. Furniture was observed to be age-appropriate and free of rough or sharp edges. LPA observed there to be cribs and mats available for napping children. Per Licensee, bedding is provided for all children and is kept in labeled storage cubbies. Breakfast, lunch and snacks are provided for children in care. Medication is stored in the Kitchen to be inaccessible to children in care. LPA observed there to be a rocker in the Living Room. LPA advised that rockers and other inclined sleeping equipment should be removed from daycare areas. Licensee stated that she understood and would remove the rocker.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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 6
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: 03/20/2025
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LPA observed the Backyard to be free of debris and other loose articles. The Backyard is enclosed by a fence that is at least four feet high. There are age-appropriate toys and equipment present. There are no swimming pools or other similar bodies of water present in the facility. Per Licensee, there are no firearms present in the home.

LPA reviewed two staff files, five children’s files, and facility records. Licensee’s Pediatric First Aid/CPR is current and expires 1/2027. Licensee’s Mandated Reporter Training has expired. LPA advised that Mandated Reporter Training must be completed every two years. Licensee stated that they understood. Immunization records are available for review. Children’s files contained Emergency Identification and Information (LIC700) and immunization records. LPA advised that Notification of Parents’ Rights and Consent for Emergency Medical Treatment (LIC627) be kept in children’s files. LPA observed the facility license and emergency disaster plan to be posted. The last emergency drill was conducted on 1/24/2025. 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.





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

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
LIC809 (FAS) - (06/04)
Page: 2 of 6
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: 03/20/2025
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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.

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 3/20/2025. See LIC9102-TV for technical violations issued today regarding Mandated Reporter Training and children’s records. A notice of site visit was given and must remain posted for 30 days.

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

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
LIC809 (FAS) - (06/04)
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