384004949-12-13-2024-05-CC-NGAA-DBWRAC-20241213115056

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004949
Report Date: 12/13/2024
Date Signed: 12/13/2024 11:51:07 AM

Document Has Been Signed on 12/13/2024 11:51 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:	JIMSEE, BATJARGAL & CHULUUN, JIMSEE		FACILITY NUMBER:	384004949
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	12/13/2024
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:03 AM
MET WITH:	Jimsee Batjargal and Jimsee Chulun		TIME VISIT/ INSPECTION COMPLETED:	12:20 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On December 13, 2024 Licensing Program Analyst (LPA) Nathan Garcia conducted an announced pre-licensing inspection and met with the Applicants Jimsee, Chuluun (Jenny) and Jimsee Batjargal (Uchka). The LPA was granted entry by the applicant. The LPA explained the purpose of the visit. The applicants and adults living in the home have cleared background checks, and to be present in a childcare facility. Applicant rents the main area of the house, 2 bedroom, 1.5 bathroom and the property control document was submitted prior to the inspection. Applicant was able to provide only LIC 9151, therefore capacity will be at 6 children. Planned days and hours of operation are Monday - Friday, 7:00 am to 05:00 pm. Both applicants lives in this home. During the home inspection, LPA observed another two story unit in the backyard area and applicant states that another adult lives in that room. LPA was able to speak to the tenant and stated that it's the same address of the main home and he stays on the top floor and the bottom floor of the unit is a storage room. Applicant states that the entrance of the backyard unit is through the side door and the connection through the main house is always locked. LPA also observed another room on the first floor, adjacent to the garage, which is locked and applicant states she does not have a key to access the area. LPA looked through the window and observed large furnitures are stored and applicant believes to be a storage room for the homeowner. Day-care areas: Large Living room, Small Living Room, Bathroom #1 The off-limit areas: Kitchen, Dining area and Bedroom #1 and #2, back yard, back yard unit and entire downstairs area. Per the Applicant, she plans to utilize the other half of the living room as an isolation for sick/ill children. Per applicant, she will primarily be serving children ages 0-5. LPA and the Applicant inspected the entire home for Health and Safety Hazards. The home is clean, orderly, and has sufficient lighting and ventilation. LPA explained to the applicant his responsibility as a FCCH provider. There are a variety of age-appropriate toys, puzzles, and books for the children. There are multiple sensory blocks/table and imaginative kitchen toys. All furniture and playthings were observed to be in good repair. The Applicant's home has smoke detectors and a carbon monoxide detectors installed. During the inspection, fire/carbon monoxide alarms were tested and verified functionality. The home has a Fire Extinguisher model 2A10BC located in the kitchen/hallway. The kitchen is located down the hallway with all harmful objects, sharp objects, and toxins are stored out of reach of children and made inaccessible to children. All accessible cabinets had child safety locks installed, and all entry/exit points had child-proof gates and on the stairway. There are First Aid kits available for the children. *continue to 2nd page*

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024

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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: JIMSEE, BATJARGAL & CHULUUN, JIMSEE	FACILITY NUMBER: 384004949
	VISIT DATE: 12/13/2024

NARRATIVE

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The applicant states that there are no guns/weapons in the home. All Electrical outlets have plastic covers. LPA reminded the Applicant to conduct an emergency drill at least once every six months and document the drills. The applicant was given a template that she may use to keep track of the fire drills and the infant sleeping log. The Applicant was informed that NO baby walkers, exer-saucers, jumpers, bouncers, and any similar items to be used for children in care. The Applicant was also reminded that smoking is prohibited at the day-care. Per Jimsee, she will utilize Golden Gate Park as an outdoor area and possibly use the backyard in the future.

Applicant plans to serve food for breakfast, lunch and AM/PM snacks, water will also be provided through the water services using a dispenser. Applicant plans to purchase liability insurance once she is licensed. Applicant's Pediatric First Aid CPR and Mandated Reporter Training are valid, and copies have been submitted to the Department. LPA reminded applicant to renew the certificates every two years.

The applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant, and discussed the Child Care Licensing Safe Sleep web page at:https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant 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: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024

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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: JIMSEE, BATJARGAL & CHULUUN, JIMSEE	FACILITY NUMBER: 384004949
	VISIT DATE: 12/13/2024

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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: http://www.ada.gov/childqanda.htm

On this date, 12/13/2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicant was informed of the MyChildCarePlan.org site, 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.

LPA reviewed with Jimsee, Chuluun and Jimsee Batjargal the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted
Entrance Checklist was provided to the applicant.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

As of today's visit, the facility is not licensed until the individual residing in the back unit gets fingerprint clearance. Verification of the clearance will be submitted to LPA and license will be mailed afterwards.

Exit interview was conducted and report was reviewed with the applicant, Jimsee, Chuluun and Jimsee Batjargal.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024

LIC809 (FAS) - (06/04)

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