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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004650
Report Date: 05/14/2024
Date Signed: 05/14/2024 12:50:07 PM

Document Has Been Signed on 05/14/2024 12:50 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:OLIVEIRA, CAROLINAFACILITY NUMBER:
384004650
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 4CENSUS: 4DATE:
05/14/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Carolina OliveiraTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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 Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the licensee, Carolina Oliveira, and the licensee's husband and explained the purpose of the inspection to them. All adult residents have fingerprint clearance. The licensee is a Portuguese bilingual. There were 4 children included 2 infants and 2 preschoolers present. The licensee said the total enrollment for the daycare was 4 children at this moment. The licensee rents and lives with her husband and 3 roommates in a 3 stories single-family house. The house has 2 bedrooms (#1 and #2), 2 bathrooms (#1 and #2), a kitchen, a living room, a dining room, a family room and a backyard on the second level; 2 bedrooms (#3 and #4 master bedroom with an adjacent full bathroom - (Applicant's bedroom) on the 3rd level; a garage on the lower level. The daycare's entrance is on the right side of the house. There was a gate with a doorbell; children entered the daycare from there to the main daycare area from the side door of the family room. The facility is called Carol's Daycare, and the operation hours are Monday to Friday from 7:30 AM to 5:00 PM. The daycare areas are a family room ( Main Playroom) and bathroom #2. The off-limit areas are the kitchen, a living room, a dining room, Bedroom #1 and bathroom #1 on the second level, the entire 3rd level including bedrooms #3 and #4 (master bedroom with an adjacent bathroom), a deck, a garage, and a backyard. LPA inspected the facility for health and safety hazards. The facility was clean and in order, temperature and lighting were adequate, and toxins and harmful objects were made inaccessible to the children. There were plenty of age-appropriate toys, books, learning materials and equipment, and children's furniture that were in good condition and repaired. The licensee installed soft cushioning on the entire floor in the main playroom to prevent injury. There was a fully charged 2A10BC fire extinguisher, at least one working 2in1 carbon monoxide and smoke detector, a working cellular phone, and first aid supplies available in the house. The licensee installed gates at the stairway to the lower and upper levels and the hallway entrance to the living room. The licensee also installed childproof knobs in the bedroom, bathroom, and main entrance doors to prevent children from accessing the off-limit areas. Playpens and cots were available for napping. A diaper-changing table was available in the daycare area. The children's bathroom was clean and free of harmful objects. The lower bathroom sink cabinet and drawer were free of harmful objects. The facility provides breakfast, AM/PM snacks, and lunch to the children daily. The parents bring milk or formula to the facility for their infants if necessary. The facility had no guns, weapons, or pets. Per the licensee, there were no children on special medication. The facility conducts a fire drill every 6 months and logged. LPA reviewed the children files and 15-minute nap check logs and obtained a copy of the current children's roster during the inspection. The licensee and her husband had current CPR/First Aid training and Child Abuse Mandated Reporter Training that will expire on 8/2024 & 11/2024.

continues in LIC809C.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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: OLIVEIRA, CAROLINA
FACILITY NUMBER: 384004650
VISIT DATE: 05/14/2024
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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 [or facility representative] 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 [or facility representative] 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: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
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: OLIVEIRA, CAROLINA
FACILITY NUMBER: 384004650
VISIT DATE: 05/14/2024
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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, Carolina Oliveira, 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 the licensee, Carolina Oliveira.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC809 (FAS) - (06/04)
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