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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002616
Report Date: 08/20/2024
Date Signed: 08/20/2024 01:13:36 PM

Document Has Been Signed on 08/20/2024 01:13 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:LEETZ, PETERFACILITY NUMBER:
384002616
ADMINISTRATOR/
DIRECTOR:		LEETZ, PETERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 886-5968
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94131
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
08/20/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Peter LeetzTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On August 20, 2024 at approximately 11:15am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with licensee, Peter Leetz, and explained the purpose of the visit.

Licensee lives in the home with their spouse and three minor children (1 school age). Present during LPA's visit included licensee, 3 assistants, and 7 children (2 infants and 5 preschool age). Licensee is operating within capacity limits and ratio.

Hours of operation are Monday through Friday: 8:00am to 5:00pm. The home is a multi-level home with three levels. Family child care operates on the second level (main level) of the home. The DAY CARE AREAS are living room, bedroom #1 (nap room), bathroom #1 (hallway bathroom), kitchen, dining area, and backyard. The OFF-LIMIT AREAS are the entire third level and ground level. There are stairs in the home and in the backyard that include child safety gates.

With licensee, LPA inspected day care areas for health and safety hazards. Home is in good repair with proper temperature and ventilation. Home includes a variety of toys and materials that are in good condition. There is a fireplace in the home that is made inaccessible to children. Flooring in home includes carpets that are in good condition, free of stains. LPA observed cabinets in kitchen with hazardous materials to include child safety locks. LPA also observed knives in kitchen to be stored on high shelves, inaccessible to children.

LPA observed cleaning supplies, poisons and solutions to be made inaccessible behind child safety locked cabinets and/or stored in home's high shelves. Home is equipped with a fully charged fire extinguisher, multiple smoke and carbon monoxide detectors and a fully stocked first aid kit/emergency backpack.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024
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: LEETZ, PETER
FACILITY NUMBER: 384002616
VISIT DATE: 08/20/2024
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Restroom for children's use was observed to be in working condition. Cabinet in restroom was also observed to have a child safety lock installed. Children in diapers are changed on a diaper changing table. Licensee currently provides diapers to children. LPA observed dirty diapers are disposed of in a garbage with a tight fitting lid.

Children's napping room is equipped with cribs and floor sleeping mattresses. LPA observed cribs to be free of loose articles and materials. LPA reminded licensee all children under 2 years old must have a sleeping log maintained while sleeping in licensee's home.

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-and-resources/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.

Outdoor area is equipped with a variety of toys and materials that are in good condition. Flooring in backyard includes artificial turf that is in good condition. LPA did not observe any pools, spas or bodies of water on site.

LPA reviewed eight children’s records. Children’s files have a record of emergency identification information on file. Licensee's CPR/First Aid certification is current and will expire 12/2024. Licensee's Mandated Reporter certification is also current and will expire 07/2026. Assistants present also have a current CPR certification. Licensee has licensing documentation properly posted and available for review. Emergency disaster drills are conducted and documented. Last disaster drill was conducted 7/9/2024. Per licensee, there are no weapons or firearms in the home.

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.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
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: LEETZ, PETER
FACILITY NUMBER: 384002616
VISIT DATE: 08/20/2024
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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.

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

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, Peter Leetz.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
LIC809 (FAS) - (06/04)
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