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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004296
Report Date: 07/02/2024
Date Signed: 07/02/2024 03:20:01 PM

Document Has Been Signed on 07/02/2024 03:20 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:MIO-PRESCHOOLFACILITY NUMBER:
384004296
ADMINISTRATOR/
DIRECTOR:		CANDICE CACERASFACILITY TYPE:
850
ADDRESS:2235 MISSION STREETTELEPHONE:
(415) 655-3756
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 10DATE:
07/02/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Candice CacerasTIME VISIT/
INSPECTION COMPLETED:
03:35 PM
NARRATIVE
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On 7/2/2024 at 2:30PM., Licensing Program Analyst (LPA) Luis Gomez and met with Director, Candice Caceras. The purpose of today’s inspection was explained and was for an unannounced, plan of correction inspection. Present was the Director and 1 staff supervising 10 children. Children present had been signed in by guardians. LPA inspected facility for health and safety hazards.

During today's inspection, LPA conducted record review, observation, and interview.

LPA observed facility operating within the limitations stated on the license. Per director, facility has a current enrollment of 15 children.

On 6/18/2024, Director submitted updated roster (LIC9040) to the Department via email.

LPA observed kitchen appliances have been moved to an off-limit area, inaccessible to children in care.

LPA reviewed facility records including the children's files. Children's files contained the LIC9224, ‘Notice of A-type deficiency’ signed by guardians. Notice of Site Visit was posted in visible location near the front door.

Deficiencies issued on 6/11/2024, has been cleared, and ‘Cleared Plan of Correction Letter’ was provided.

Based on today's inspection, no deficiencies were observed in areas evaluated according to the Title 22 Division 12, Chapter 1 Ca. Code of Regulations. Exit interview and report was discussed with Director, Candice Caceras. Signature of this form acknowledges receipt of these documents.

This report must be available in facility for public review. Notice of site visit was provided and shall remain posted for 30 days. Staff was advised for questions to contact the Regional Office, Mon- Fri, 8:00am-5:00pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2024
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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