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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410504640
Report Date: 02/13/2025
Date Signed: 02/13/2025 04:48:01 PM

Document Has Been Signed on 02/13/2025 04:48 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:PARKER, ANGELAFACILITY NUMBER:
410504640
ADMINISTRATOR/
DIRECTOR:		PARKER, ANGELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 346-5056
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
02/13/2025
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:41 PM
MET WITH:Angela ParkerTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 02/13/2025, Licensing Program Analysts (LPAs) Katie Krenn and Nathan Garcia conducted an unannounced case management visit to complete an annual visit at the facility. LPAs met with Licensee, Angela Parker and her daughter, Cathleen Parker and explained the purpose of the visit. Present during the visit was Licensee, two helpers, two school age children, seven preschool children and three infants. All adults in the home had obtained criminal record clearances from the California Department of Social Services.

Licensee lives in the single level home with their spouse and hours of operation are Monday through Friday 8:00am to 5:00pm.

DAY CARE AREAS are the living room (main playroom), family room (playroom #2), hallway bathroom, bedroom #1 (napping room), kitchen, laundry room (pass by to backyard), backyard and front yard.

OFF LIMIT AREAS are bedroom #2, bedroom #3, and garage. Off limit areas are appropriately barricaded. There are stairs in the backyard that were observed to have a child safety gate.

The licensee has a large license and is operating within the capacity limits and ratios for this visit.

LPAs observed that all required documents, such as the facility license, the Notification of Parental Rights, and the Earthquake Preparedness Checklist, were displayed and visible to the public.

The most recent emergency disaster drill was conducted on 2/12/2025, and the LPAs observed that it was documented. LPAs reviewed the emergency disaster drill log and found they were conducted at least once every six months.

LPAs inspected the indoor and outdoor daycare areas to identify health and safety hazards. LPAs finished reviewing staff and children's records.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Katie Krenn
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2025
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 4
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: PARKER, ANGELA
FACILITY NUMBER: 410504640
VISIT DATE: 02/13/2025
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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.

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 LPAs completed the RSO profile in FAS.

No deficiencies were issued during today's visit.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee, Angela Parker.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Katie Krenn
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
LIC809 (FAS) - (06/04)
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