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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002792
Report Date: 01/29/2024
Date Signed: 01/29/2024 12:04:05 PM

Document Has Been Signed on 01/29/2024 12:04 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:RAEDER, JENNIFER S.FACILITY NUMBER:
384002792
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
01/29/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jennifer RaederTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection. LPA met with the licensee, Jennifer Raeder, and explained the purpose of the inspection to her. There were 3 children including two preschoolers and an infant. The licensee owns this 2 story-single-family house and lives with her spouse and 2 minor children. The house has 2 bedrooms, an office, a living room, a kitchen with an adjacent dining area and a bathroom on the upper level; an in-law with 2 rooms (a playroom and a nap room), a kitchenette & a bathroom, a garage, and a backyard on the lower level. The daycare areas are the entire lower level including an in-law and a backyard. The off-limit areas are the entire upper level, a garage, and a deck in the backyard. The facility is called JEN'S DAYCARE, and the operation hours are Monday to Friday from 9 AM to 5 PM. LPA inspected the facility for health and safety hazards. The facility was clean and in order, temperature and lighting were adequate, and toxins and harmful objects were made inaccessible to the children. The licensee covered all the sharp corners and electrical outlets. There were a fully charged 2A10BC fire extinguisher, working cellular phone, first aid supplies and working smoke and carbon monoxide detectors available. There were plenty of age-appropriate toys, books, learning material and equipment and children's furniture that were in good condition and repaired. The licensee installed a gate at the entrance of the daycare areas and installed childproof knobs to the nap room door and a door to the garage to prevent children accessing to the areas by themselves. The facility had hooks on the walls for the children to hang their jackets by the back door to the yard. The facility had a big bag to store the children’s shoes by the daycare entrance. The lower kitchen cabinets and drawers were latched. The children's bathroom was clean and in order. The lower bathroom sink cabinet was latched. The outdoor play yard was completely fenced. The licensee installed gates at the stairways in the yard. There were some outdoor toys, ride-on toys, seesaws, a playhouse, water/sand tables and children furniture that were in good condition and repaired available for children outdoor. The facility provides AM/PM snacks and lunch to the children. Per licensee, there was no pets, guns, or weapons at home. Highchairs were available for feeding only. Play pens were used for napping. Per licensee, there was a child on special medication. LPA inspected the medication during the inspection. The facility has conducted the disaster drills with children every 4 months and logged properly. LPA reviewed the children's files and obtained a copy of the current children roster during the inspection. The licensee had current CPR/First Aid training and Child Abuse Mandated Reporter Training, they will expire in 7/2024 and 12/2024.
continues in LIC809C.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2024
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: RAEDER, JENNIFER S.
FACILITY NUMBER: 384002792
VISIT DATE: 01/29/2024
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Criminal Record Clearance - Licensee was reminded that all adults 18 and over living or working in 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.

Safe Sleep - 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 [or facility representative] 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 22-02CCP. 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/.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2024
LIC809 (FAS) - (06/04)
Page: 2 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: RAEDER, JENNIFER S.
FACILITY NUMBER: 384002792
VISIT DATE: 01/29/2024
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MyChildCarePlan.org – 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.

Megan’s Law - During the exit interview, Jennifer Raeder, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days.

Exit Interview - Exit interview conducted and report was reviewed with the licensee, Jennifer Raeder.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2024
LIC809 (FAS) - (06/04)
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