<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004307
Report Date: 12/11/2023
Date Signed: 12/11/2023 04:16:25 PM

Document Has Been Signed on 12/11/2023 04:16 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:HERNANDEZ, RUTHFACILITY NUMBER:
384004307
ADMINISTRATOR:HERNANDEZ, RUTHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 606-1205
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 10DATE:
12/11/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Patricia Cardenas Cerver TIME COMPLETED:
04:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Mok conducted an unannounced annual Inspection today. LPA met with the helpers, Patricia Cardenas Cerver & Jaquelinne Archila Acosta, and explained the purpose of the inspection to them. All adults have fingerprint clearance. Per Patricia, the licensee was not at home due to a doctor's appointment upon LPA's arrival; Patricia put the licensee on the phone with the LPA during the inspection. Per the licensee, she left home for a doctor's appointment, so the children were left with the helpers during her absence. The facility had ten children (preschoolers) with two staff present. The facility had five children napping in the daycare area indoors while the other five children were playing with staff in the yard upon LPA's arrival. The facility is called HOLAKIDS, and the operation hours are Monday to Thursday from 8 AM to 5 PM; and Friday from 8 AM to 3:30 PM. The licensee rents and lives in this 2 stories single family house by herself. The house has 2 bedrooms, a living room, a dining room, a kitchen, and a bathroom on the upper level; it has an open area with a kitchenette (food preparation area), a bathroom, an office, a garage, and a backyard on the ground level. The daycare areas are on the ground level including the open area with a kitchenette, a bathroom, and a backyard. The off-limit areas are the entire upper level, an office & a garage on the ground level. The main daycare entrance is from the side gate on Bacon Street. LPA inspected the facility for health and safety hazards. The facility was clean and in order, the temperature and lighting were adequate, and toxins and harmful items were made inaccessible to the children. The facility had some hooks on the wall by the main entrance for the children to store their belongings. The facility had a fully charged 2A10BC fire extinguisher, a working cellular phone, a working 2in1 smoke and carbon monoxide detector, and first aid supplies in the daycare areas. The facility had plenty of age-appropriate toys, books, learning materials & equipment, and children's furniture that were in good condition and repaired. The licensee installed a childproof knob to the door accessing the garage area. The licensee covered all sharp corners and electrical outlets in the daycare areas. The licensee installed a hook at the office door and a gate at the stairway to the upper level to prevent children from accessing the off-limit areas. The licensee also installed carpet as the soft cushioning to the entire daycare floor to prevent injury. The children bring their snacks, lunches in the lunch boxes & water bottles to the facility daily; the facility provides drinking water for the children whenever they need it. The facility uses cots for napping and provides bedding to each child. Per Patricia, the facility washes the bedding for the children every Friday. The children's bathroom was clean and in order. The licensee made the harmful and toxin items inaccessible to the children in there. The lower bathroom drawers had no harmful objects in them, The outdoor play yard was completely fenced. The facility installed the artificial grass turf as the soft cushioning to the entire ground to prevent injury. The facility had some age-appropriate toys & ride-on toys available for children in the yard. Per the licensee, there were no children on Special medication. The facility conducts the disaster drill monthly and logs. LPA reviewed the children and staff files, and obtained a copy of the current children's roster from the licensee during the inspection. The licensee and two helpers had current CPR/First Aid Training. The two helpers had current Child Abuse Mandated Reporter Training (AB1207). The facility had daycare Insurance that will expire on 8/4/2024.

Continues on LIC809C
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2023
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: HERNANDEZ, RUTH
FACILITY NUMBER: 384004307
VISIT DATE: 12/11/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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 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: 12/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023
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: HERNANDEZ, RUTH
FACILITY NUMBER: 384004307
VISIT DATE: 12/11/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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, the LICENSEE ****, 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 a staff/helper, Patricia Cardenas Cerver.

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
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3