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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004419
Report Date: 05/07/2024
Date Signed: 05/07/2024 11:34:39 AM

Document Has Been Signed on 05/07/2024 11:34 AM - 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:RAMSEY, MARYFACILITY NUMBER:
384004419
ADMINISTRATOR/
DIRECTOR:
RAMSEY, MARYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 793-1820
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94115
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 10DATE:
05/07/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Licensee, Mary RamseyTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 5/7/2024, at approximately 9:20AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Licensee, Mary Ramsey. LPA explained the purpose of the visit. Present during the visit was the Licensee, two helpers, nine preschool age children, and one infant. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 7:30AM to 6:00PM.

Daycare Areas: Living Room, Daycare Room, Bathroom, and Backyard.
Off-limits Areas: Kitchen and entire upper level.

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. There is a fire alarm system running throughout the home. There is a carbon monoxide detector that was demonstrated to be operational. There is no fireplace in the facility. Off-limits areas are rendered inaccessible by childproof gates. Electrical outlets are covered or obstructed by furniture when not in use to be inaccessible to children in care. Poisons, cleaning detergents, and other chemicals are stored out of reach of children in care.

LPA observed age-appropriate toys and learning materials to be present. Children have access to manipulatives and art supplies. Furniture was observed to be age-appropriate and free of rough or sharp edges. LPA observed cubbies to be present for each child that are labeled with names. The facility provides cots and mats for children in care. Children bring bedding from home and take it back once a week for cleaning. Children may bring lunch from home, or the facility will provide lunch for them. The facility provides snacks. LPA advised that baby bouncers, walkers, exersaucers, and jumpers are not allowed in Family Child Care Homes.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/07/2024
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: RAMSEY, MARY
FACILITY NUMBER: 384004419
VISIT DATE: 05/07/2024
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LPA observed the outdoor play area to be free of debris and other loose articles. There is a childproof gate that is used when children are present. There are no pools or other bodies of water present in the facility. Children are taken on short walks to nearby parks and are under supervision during outdoor play.

LPA reviewed two personnel files, 11 children’s files, and facility records. Licensee’s Mandated Reporter Training expires in 4/2026. LPA advised that First Aid/CPR training be completed by an EMSA certified vendor. There is a Child Care Facility Roster (LIC9040) available for review. LPA observed all children’s records to contain Emergency Identification and Information (LIC700) and Notification of Parents’ Rights (LIC995A). LPA observed the facility license, emergency disaster plan, and Notification of Parents’ Rights (PUB394) to be posted. The facility last conducted an emergency drill in 12/2023. Emergency drills are properly logged and documented.

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: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
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: RAMSEY, MARY
FACILITY NUMBER: 384004419
VISIT DATE: 05/07/2024
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, 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 5/7/2024.
See LIC9102-TA for technical assistance given today regarding baby bouncers in a FCCH.
A notice of site visit was given and must remain posted for 30 days.

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

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
LIC809 (FAS) - (06/04)
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