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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002980
Report Date: 01/16/2025
Date Signed: 01/16/2025 02:46:17 PM

Document Has Been Signed on 01/16/2025 02:46 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:HERRINGTON, ROSIMEIREFACILITY NUMBER:
384002980
ADMINISTRATOR/
DIRECTOR:		HERRINGTON, ROSIMEIREFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(628) 444-3244
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94123
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
01/16/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:35 AM
MET WITH:Helper, Mariela MejiaTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 1/16/2025, at approximately 11:35AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Helper, Mariela Mejia (H1) and explained the purpose of the visit. Present during the visit was H1, another helper (H2), four infants, and one preschool age child. Licensee Rosimeire Herrington was not present during today’s visit.

Daycare Areas: Bedroom #1, Bedroom #2, Living Room, Bathroom, and Kitchen.
Off-limits Areas: All closets.

LPA and H1 inspected the facility for any health or safety hazards. There is a fully charged 2A10BC fire extinguisher present in the Kitchen. The carbon monoxide detector present in Bedroom #1 was demonstrated to be operational. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. LPA observed that a cabinet in the Bathroom did not have a functioning childproof lock. The cabinet was out of reach of children in care, rendering it inaccessible. LPA advised H2 to ensure that all childproof locks are operational. H2 stated that they understood. There are no fireplaces or open-face heaters present in the home. Stairs are 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. Safe sleep requirements were discussed with H1 and H2 during the visit. The facility has mats and cribs available for napping children. LPA advised that cribs are to be kept free of loose articles and objects, with nothing hanging on the side or over the cribs.




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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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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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: HERRINGTON, ROSIMEIRE
FACILITY NUMBER: 384002980
VISIT DATE: 01/16/2025
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LPA advised that per fire clearance requirements, infants may only nap in the Living Room. H1 and H2 stated that they understood. Infants nap in the Living Room and preschool age children nap in Bedroom #2. LPA observed that a sleep sack was present in a crib. The sleep sack was removed from the daycare areas. LPA advised that sleep sacks are swaddling devices and as such are not allowed to be present in a licensed childcare facility. H2 stated that they understood. During the visit, Licensee sent LPA proof that she requested that alternative clothing be brought to the facility by the parents.

The facility provides breakfast and AM/PM snacks for children in care. Children bring lunch from home. Highchairs are present in the Kitchen and are only used for feeding.

There is no outdoor play area for use in the facility. Per H2, children are taken to nearby parks that are within walking distance for outdoor activities. There are no swimming pools or other similar bodies of water present. Per H2, there are no firearms or weapons stored in the home.

LPA reviewed three staff files, five children’s files, and facility records. Licensee’s Pediatric First Aid/CPR training is current and expires 3/2026. H1 and H2 did not have documentation of current Pediatric First Aid/CPR training on file but stated that they did complete the training. LPA advised that documentation must be maintained at the facility. H2 stated that they understood. LPA did not observe any documentation of current Mandated Reporter Training for Licensee, H1, or H2. LPA informed H2 that a deficiency would be cited for the training. H2 stated that they understood. LPA did not observe a file to be maintained for H2. LPA advised that a file must be maintained for each staff member present or working in the facility.

Children’s files were reviewed and observed to contain Emergency Contact and Information (LIC700) and Consent for Emergency Medical Treatment (LIC627). LPA advised that infants under one year old must have an Individual Infant Sleeping Plan (LIC9227) maintained in their file. H2 stated that they understood. A copy of the form was provided during the visit. LPA discussed infant sleep logs with H2. Per H2, sleep logs are maintained for infants once they initially sleep and when they wake up. LPA advised that infant sleep logs are to be logged every 15 minutes.


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

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
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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: HERRINGTON, ROSIMEIRE
FACILITY NUMBER: 384002980
VISIT DATE: 01/16/2025
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The facility last conducted and logged an emergency drill in 2/2024. LPA discussed emergency drill requirements with H2. Emergency drills are to be conducted at least once every six months and logged and documented. H2 stated that they understood. LPA reviewed the facility roster and advised that it must be kept updated when children are enrolled and when children leave the facility. H2 stated that they understood. Required postings were observed to be posted and accessible for review in the Kitchen.

LPA advised that the facility must remain current with its annual fees and provided information on how to pay the fees.

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: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
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: HERRINGTON, ROSIMEIRE
FACILITY NUMBER: 384002980
VISIT DATE: 01/16/2025
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, H2 confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

See LIC809-D for Type B deficiencies cited today regarding Mandated Reporter Training, Pediatric First Aid/CPR, and the use of sleep sacks. See LIC9102-TV for technical violations issued today. A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided and explained.

Exit interview conducted and report was reviewed with the facility representative, Ruth Juarez Rizo.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/16/2025 02:46 PM - It Cannot Be Edited


Created By: Jonathan Tse On 01/16/2025 at 02:13 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: HERRINGTON, ROSIMEIRE
FACILITY NUMBER: 384002980

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(f)
Infant Safe Sleep
An infant shall not be swaddled while in care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above by using a sleep for one infant which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/30/2025
Plan of Correction
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The sleep sack was removed during the visit. Licensee informed parents that sleep sacks are not to be used and requested that an alternative be brought instead. This deficiency shall be cited and cleared the same day of the visit.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above by not having documentation of completed Mandated Reporter Training for three out of three staff files which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/14/2025
Plan of Correction
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Licensee shall have all staff members completed Mandated Reporter Training and submit proof of completion to LPA via email by due date of 2/14/2025. Training can be found at mandatedreporterca.com.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ali Zebila
LICENSING EVALUATOR NAME:Jonathan Tse
LICENSING EVALUATOR SIGNATURE:
DATE: 01/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/16/2025


LIC809 (FAS) - (06/04)
Page: 5 of 12
Document Has Been Signed on 01/16/2025 02:46 PM - It Cannot Be Edited


Created By: Jonathan Tse On 01/16/2025 at 02:13 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: HERRINGTON, ROSIMEIRE
FACILITY NUMBER: 384002980

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above by not maintaining documentation of completed Pediatric First Aid/CPR training for staff members present which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/14/2025
Plan of Correction
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Licensee shall submit proof of completed training for H1 and H2 to LPA via email by due date of 2/14/2025.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ali Zebila
LICENSING EVALUATOR NAME:Jonathan Tse
LICENSING EVALUATOR SIGNATURE:
DATE: 01/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/16/2025


LIC809 (FAS) - (06/04)
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