384004963-2-24-2026-05-CC-CQUO-DRLRK3-20260224120451

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004963
Report Date: 02/24/2026
Date Signed: 02/24/2026 12:05:00 PM

Document Has Been Signed on 02/24/2026 12:05 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:	FUENTES PAREDES, KIMBERLY		FACILITY NUMBER:	384004963
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 6	TOTAL ENROLLED CHILDREN: 5	CENSUS: 4	DATE:	02/24/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:35 AM
MET WITH:	Kimberly Fuentes Paredes		TIME VISIT/ INSPECTION COMPLETED:	12:15 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 February 24, 2026 at approximately 8:35am, Licensing Program Analysts (LPAs) Quimbo and Alvarado conducted an unannounced, annual inspection. LPAs met with licensee, Kimberly Fuentes Paredes, and explained the purpose of the visit. Present during LPAs' visit included licensee, licensee's assistant and 4 children (2 infants and 2 preschool age). Licensee is operating within capacity limits and ratio during LPAs' visit. Licensee also submitted a capacity increase application to the department January 23, 2026. Licensee also requested to add the off limit area of the backyard as a day care area. Fire clearance was obtained February 10, 2026. LPAs did not observe any conditions on fire clearance inspection report. In conjunction with annual inspection, LPAs also conducted a case management visit for the capacity increase application. LPAs inspected entire home and day care areas for health and safety hazards. Licensee operates their home Monday through Friday 7:30am to 5:00pm. Licensee lives in the multi-unit building with their spouse and minor child. Adults living in the home and assistant present have fingerprint clearance on file. Licensee stated they are aware their minor child is counted towards their total capacity. The DAY CARE AREAS now approved are the living room (main playroom), dining area, bedroom #2 (napping room), hallway bathroom, both hallways, deck and patio. The OFF LIMIT AREAS are the kitchen, master bedroom, and master bathroom (in master bedroom). LPAs observed off limit areas are made inaccessible with a child safety gate and/or child safety door handles. LPAs observed day care areas to include a variety of toys and materials. Flooring in living room includes soft padding. Flooring in napping room includes carpet. LPAs observe flooring to be in good condition without any stains. Toys and materials were observed to be age appropriate. LPAs observed electrical outlets in day care areas to be made inaccessible with child safety covers. LPAs also observed cabinets and drawers in day care areas to have child safety locks installed. (Continue report on page 2...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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: FUENTES PAREDES, KIMBERLY	FACILITY NUMBER: 384004963
	VISIT DATE: 02/24/2026

NARRATIVE

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Bathroom for children's use was observed to be in working condition. Home includes a diaper changing table. Per licensee, children's families provide diapers and wipes. LPAs observed diapers and wipes to be stored appropriately. Per licensee, dirty diapers are disposed of in a plastic bag and taken outside of home.

Home is equipped with a combination smoke and carbon monoxide detector, a fully charged fire extinguisher and a fully charged first aid kit. LPAs tested detector during today's visit which was observed to be working. Emergency disaster plan was made available for review. Licensee documents and maintains emergency disaster drills. Last documented disaster drill was conducted 1/26/2026.

Children sleep in the napping room in cribs and cots. Infant children sleep in cribs while preschool age children sleep on cots. Per licensee, sheets and blankets are provided by licensee and laundered weekly. Licensee stated children's families are able to bring their own sheets and blankets. Per licensee, cots are also sanitized weekly.

LPAs observed infant sleeping during today's visit. LPAs observed infant to be sleeping in a crib, free of loose articles and objects. Licensee maintains sleeping logs for infants that were made available for review. LPA reviewed random months of sleeping logs from October 2025, November 2025, and February 2026. LPAs observed sleeping logs to document the initial time the infant falls asleep, the infant's sleeping position, the 15 mute time stamp of when the sleeping infant is checked on and the time the infant wakes up.

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 and removing any 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.

Outdoor patio and backyard was observed to be enclosed and fenced. There is a storage shed in the outdoor area. LPAs observed stairs in the backyard that are gated. LPAs observed outdoor area to include a variety of toys and equipment. Flooring includes artificial turf that is in good condition. There was a water table observed. LPAs reminded licensee to change water in water table after each use. LPAs did not observe any pools, spas or ponds in the outdoor area.

Licensee provides a food service to children. Reusable plates and utensils are utilized and are washed daily. LPA observed kitchen to be made inaccessible to children.
(Continue report on page 3...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

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: FUENTES PAREDES, KIMBERLY	FACILITY NUMBER: 384004963
	VISIT DATE: 02/24/2026

NARRATIVE

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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: https://www.ada.gov/resources/child-care-centers/.

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.

LPA reviewed facility records that included all enrolled children's records and licensee's record. Children's records are complete with emergency information, immunization records and Individual Infant Sleeping form (LIC9227).

Licensee has submitted their required immunizations to the department. Assistant present has proof of their required immunizations during today's visit. LPAs observed both licensee and assistant to have current CPR and First Aid certifications that were made available for review. LPAs also observed both licensee and assistant to have current Mandated Reporter certifications that were also observed made available for review.

Licensing documents are posted and made available for review in the main entrance of the home. Per licensee, there are no weapons or firearms in the home.

The licensee has not obtained a signed Property Owner/Landlord Consent form (LIC 9149). Without this consent, the applicant understands that, once licensed, they can operate with a maximum capacity of 12 children. If property owner/landlord consent is obtained in the future, the applicant is advised that a new Application for a Family Child Care Home License (LIC 279) must be submitted with a change of capacity fee of $25, to increase the capacity and provide care to 14 children.

Capacity limits and ratios for a large family day care have been reviewed with licensee on this date. LPA reminded licensee that an assistant must be present when operating as a large license. LPA reminded licensee when an assistant is not present, licensee must operate as a small license.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

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: FUENTES PAREDES, KIMBERLY	FACILITY NUMBER: 384004963
	VISIT DATE: 02/24/2026

NARRATIVE

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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, the Licensee Kimberly Paredes Fuentes, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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.

No deficiencies were issued during today's visit.

A large license for 12 children was approved, effective today's date. LPAs also approved the use of deck and patio.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Kimberly Paredes Fuentes.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

LIC809 (FAS) - (06/04)

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