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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004301
Report Date: 06/27/2024
Date Signed: 06/27/2024 12:42:56 PM

Document Has Been Signed on 06/27/2024 12:42 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:CABILLO, MARINELLE C.FACILITY NUMBER:
384004301
ADMINISTRATOR/
DIRECTOR:		CABILLO,MARINELLE C.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 602-6158
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94115
CAPACITY: 14TOTAL ENROLLED CHILDREN: 16CENSUS: 12DATE:
06/27/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:05 AM
MET WITH:Licensee, Marinelle CabilloTIME VISIT/
INSPECTION COMPLETED:
12:55 PM
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On 6/27/2024, at approximately 11:05AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Licensee, Marinelle Cabillo (L1), and explained the purpose of the visit. Present during the visit was L1, three helpers, four infants, and eight preschool age children. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 8:00AM to 5:00PM.

Daycare Areas: Bedroom #1, Dining Room, Kitchen, Bathroom #1, designated outdoor area (deck and lower area).
Off-limits Areas: Bedroom #2, Bathroom #2 and part of the outdoor area (blocked off by childproof gates).

LPA inspected the home for any health or safety hazards. LPA observed the home to be in clean and orderly condition. The home is equipped with a fully charged 2A10BC fire extinguisher. L1 demonstrated a carbon monoxide detector located in the hallway of the home to be operational. Electrical outlets are covered or obstructed by furniture to be inaccessible to children in care. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. There is a fireplace present in the facility that has been covered.

LPA observed the daycare areas to contain age-appropriate learning materials and toys. LPA advised L1 shall check shelves to ensure objects are not capable of sliding and falling off. L1 stated that they understood. The facility has mats for children in care. Per L1, infants are provided mats because they are big enough to climb out of a crib or playpen. Children bring bedding from home and take it back once a week for cleaning. Per L1, the facility provides lunch and AM/PM snacks for children in care. Children bring water bottles from home and the facility refills the bottles as needed.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024
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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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: CABILLO, MARINELLE C.
FACILITY NUMBER: 384004301
VISIT DATE: 06/27/2024
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LPA observed the outdoor play area to be free of debris or other loose articles. There are age-appropriate toys and equipment available for children to use. There is resilient padding in the form of artificial turf. Off-limits areas are rendered inaccessible with childproof gates. There are no pools or other similar bodies of water present. Per Licensee, there are no firearms or weapons stored in the facility.

LPA reviewed four staff files, six children’s files, and facility records. Licensee’s Pediatric First Aid/CPR training is current and expires 2/2026. Licensee’s Mandated Reporter Training expires 11/2024. All helpers have current Pediatric First Aid/CPR and Mandated Reporter Training. Immunization records are available for review. All children’s files were observed to be complete. LPA observed all required postings to be posted and accessible for review in the Kitchen. LPA advised that required postings be posted in the entrance of the home to be visible and accessible upon entry. L1 stated that they understood.

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: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024
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: CABILLO, MARINELLE C.
FACILITY NUMBER: 384004301
VISIT DATE: 06/27/2024
NARRATIVE
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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 6/27/2024. A notice of site visit was given and must remain posted for 30 days.

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

DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024
LIC809 (FAS) - (06/04)
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