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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004756
Report Date: 10/30/2024
Date Signed: 10/30/2024 04:58:14 PM

Document Has Been Signed on 10/30/2024 04:58 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:SOLIS SAZO, ANDREA M.FACILITY NUMBER:
384004756
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 5DATE:
10/30/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:20 PM
MET WITH:Licensee, Andrea Solis SazoTIME VISIT/
INSPECTION COMPLETED:
05:10 PM
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On 10/30/2024, at approximately 2:20PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Licensee, Andrea Solis Sazo, and explained the purpose of the visit. Present during the visit was Licensee, three preschool age children, and two infants. The facility is operating within capacity and ratio requirements on this day. The facility’s hours of operation are from 7:00AM to 6:00PM, Monday to Friday.

Daycare Areas: Upper Level: Living Room and Bathroom.
Off-limits Areas: Upper Level: Bedroom #1, Bedroom #2, Bedroom #3, and Kitchen. Entirety of the lower level and Garage.

LPA and Licensee inspected the home for any health or safety hazards. There is a fully charged 2A10BC fire extinguisher present. There is a carbon monoxide and smoke detector present. The surface of the home was observed to be free of debris. Electrical outlets are covered or blocked by furniture when not in use. Off-limits areas and stairs are kept inaccessible with childproof gates.

LPA observed age-appropriate toys and learning materials to be present in the Living Room. Children have access to books, art supplies, and sensory activities. Furniture is age-appropriate and free of rough or sharp edges. The facility provides breakfast and lunch for children in care. Per Licensee, parents provide snacks from home. Children nap on cots. Playpens are available for sleeping infants. The facility provides sheets and blankets for napping children. Cups are also provided.

LPA observed there to be baby bouncers present in the Living Room. Licensee stated that they are for her children’s own use. LPA advised that baby bouncers shall be removed from the daycare areas. Licensee stated that they understood.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2024
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 9
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: SOLIS SAZO, ANDREA M.
FACILITY NUMBER: 384004756
VISIT DATE: 10/30/2024
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Page Two
LPA observed that a childproof lock in the Bathroom cabinet was broken. LPA advised that Licensee replace the lock immediately. Licensee stated that they understood.

LPA discussed safe sleep regulations with Licensee. Sleep sacks are not to be used in a Family Child Care Home, as they are considered to be swaddling devices. Infants are to be moved to a crib once they have fallen asleep. Objects are not to be placed on top of, or on the side of, cribs that are used by sleeping infants.

There is no outdoor play area in the home. Per Licensee, children are taken on walks to McLaren Park about once a week, which is approximately 10 minutes walking distance from the facility. Licensee stated that parents are notified when children leave the facility to go to the park. There are no pools or other similar bodies of water present in the home. Per Licensee, there are no firearms or weapons in the home.

LPA reviewed Licensee’s file, three children’s files, and facility records. Licensee’s Pediatric First Aid/CPR training expires 9/2025. Licensee’s Mandated Reporter training expires 10/1/2026. Licensee’s immunizations are available for review. LPA observed all children’s files to be complete. LPA reviewed required postings with Licensee during the visit. LPA advised that emergency drills must be completed at least once every six months. Drills must be documented and logged. Licensee 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: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
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: SOLIS SAZO, ANDREA M.
FACILITY NUMBER: 384004756
VISIT DATE: 10/30/2024
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.

See LIC9102-TV for technical violations issued today regarding childproof locks, baby bouncers, and emergency drills. See LIC9102-TA for technical assistance provided today regarding infant safe sleep.

The following documents were printed and provided to Licensee:
1) LIC9182
2) LIC9148
3) PUB394
4) A sample emergency drill log

Appeal rights were provided and explained to Licensee. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee, Andrea Solis Sazo.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
LIC809 (FAS) - (06/04)
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