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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004756
Report Date: 02/26/2025
Date Signed: 02/26/2025 05:36:47 PM

Document Has Been Signed on 02/26/2025 05:36 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: 6CENSUS: 3DATE:
02/26/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
05:04 PM
MET WITH:Andrea Solis SazoTIME VISIT/
INSPECTION COMPLETED:
05:50 PM
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On February 26, 2025, at approximately 4:30PM, Licensing Program Analyst (LPA) Tso, met with Licensee, Andrea Solis Sazo. Purpose of inspection was explained and was for an Unannounced, Case Management inspection, to add a Bedroom #2 to the on-limit (day care) areas. Present was the licensee caring for 3 children. ( 2 infant-age, 1 preschool age). Adult has criminal record clearances on file. Licensee’s home is a 4 bedrooms, 3 bathrooms, 2 levels house. Days and hours of operations are: Monday- Friday, 7:00AM.- 6:00PM. Daycare Areas are: Upper Level: Living Room and Bathroom #2. Off-limit Areas are: Upper Level: Bedroom #2, Bedroom #3, Bedroom #4, Kitchen, the entire lower level including bedroom #1 and Bathroom #1, and Garage. LPA inspected facility with licensee for health and safety hazards.

LPA inspected bedroom # 2 for health and safety hazards. Bedroom was clean, with several cots available. LPA observed the floor covered with soft pads, and aged-appropriated toys, books and furniture. The high cabinet in the bedroom #2 were inspected during inspection. All accessible electric outlets have been covered.

A statement to apply for adding a Bedroom as daycare area and the updated Facility Sketch (LIC999) had been submitted to the department.

Prior to the licensure of Bedroom #2 on the upper floor as on-limit (daycare) area, the followings should be addressed.

· Provide the proof of 3 corner protectors installed on 2 cubbies.

· Provide the proof of replacement or adding the soft pads on the 4 lower drawer handles of the high cabinets.

There were no deficiencies cited at this time under CCR, Title 22, Div. 12, Chapter 3. A copy of today’s report was given to the 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: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
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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