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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004682
Report Date: 04/26/2024
Date Signed: 04/26/2024 10:23:56 AM

Document Has Been Signed on 04/26/2024 10:23 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:RAMIREZ ORTIZ, ANGELICA M.FACILITY NUMBER:
384004682
ADMINISTRATOR/
DIRECTOR:		RAMIREZ ORTIZ, ANGELICA M.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(407) 285-4142
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
04/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Angelica M. Ramirez OrtizTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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Licensing Program Analysts, Yee and Gil (Spanish Bilingual) conducted a case management visit today. The purpose of the visit is to verify if the licensee completed the items that were mentioned on the visit dated 3/21/2024. The following items have been explained and completed.

1) Infant Sleep log and LIC9227 were explained and left a copy on site

2) Children files were available and one child record is incomplete. The licensee said the parent did not fill it out and she had made an appointment next Monday to help her fill it out. The licensee said she understands the requirements of the paperwork and will keep the records current.

3) The licensee and helper completed Child Abuse Mandated Reporter Training, AB1207 on 4/2/2024, and 04/03/2024.

The report has been discussed and explained in Spanish.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2024
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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