414000300-9-20-2024-05-CC-MZAA-D9AVRD-20240920163947

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414000300
Report Date: 09/20/2024
Date Signed: 09/20/2024 04:39:54 PM

Document Has Been Signed on 09/20/2024 04:39 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:	AGUADO, SUSAN & CARMICHAEL, CHRISTINE		FACILITY NUMBER:	414000300
ADMINISTRATOR/ DIRECTOR:	S. AGUADO & C. CARMICHAEL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 572-2411
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY: 12	TOTAL ENROLLED CHILDREN: 12	CENSUS: 7	DATE:	09/20/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:15 PM
MET WITH:	Licensee, Christine Carmichael		TIME VISIT/ INSPECTION COMPLETED:	05:00 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 September 20, 2024 at approximately 1:00 pm, Licensing Program Analyst (LPA) Melissa Zaragoza, conducted an unannounced, annual inspection. LPA was greeted and granted access by licensee, Christine Carmichael. At the entrance licensee was explained the purpose of the inspection. Present during LPA's visit included Licensee Christine, licensee, Susan Aguado, 2 staff assistant, and 7 children (3 infants, and 4 preschool children). Hours of operation are Monday through Friday 8:00am to 5:30pm. Licensee lives in a two-level home with their spouse, adult daughter, and mother, Susan Aguado. All adults living in the home and staff present, have fingerprint clearance on file. Per licensee, Susan Aaguado, is retired and does not provide care to children. The DAY CARE AREAS are located on the first level of the home, living room #1, dining room, playroom, bathroom #1, family room, and backyard yard. The OFF LIMIT AREAS are the entire second level of the home, kitchen, living room #2, and garage. Off limit areas are made inaccessible to children. LPA toured day care areas of home with licensee. LPA observed home to be in good repair with proper temperature and ventilation. Home is equipped with a variety of toys and materials that were observed to be in good condition. LPA observed electrical outlets to be made inaccessible with child safety covers. Cleaning supplies, poisons and hazardous materials are stored in homes off limit areas and/or locked behind child safety locked cabinets. Home is equipped with a fully charged fire extinguisher and a dual smoke and carbon monoxide detector. Smoke and carbon monoxide detector was tested during visit and was observed to be in working condition. Napping area (family room and play room) was observed to be equipped with playpens and cots for napping children. LPA did not observed playpens or cots to have tight fitting sheets. Per licensee, they do not use blankets or sheets. LPA reminded licensee sleeping logs for napping infants need to be maintained and includes the 15-minute time check of when infant was last checked on. LPA observed the bathroom, bathroom was observed to be in proper working condition. There is appropriate sanitation and toileting equipment for children in care. LPA observed children’s diapers and wipes in bathroom to be properly stored in cubbies. Cubbies have the children’s names of each individual child. LPA observed changing table in the bathroom for infants. Per licensee, children’s families provide diapers and wipes for enrolled children. (Continue Report on Page 2...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: AGUADO, SUSAN & CARMICHAEL, CHRISTINE	FACILITY NUMBER: 414000300
	VISIT DATE: 09/20/2024

NARRATIVE

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Children eat in playroom. A food service is provided to children that include breakfast, lunch, and snack. LPA observed eating area to be clean and equipped with appropriate dining furniture. Per licensee, there are no children with dietary restrictions or allergies. LPA observed knives to be made inaccessible in kitchen,an off limits area with a child proof lock.

Outdoor area in the back yard is entirely enclosed and fenced. Outdoor area includes a variety of toys and equipment that were in good condition. LPA observed cement and fake grass flooring. LPA observed a pool in the backyard. LPA observed pool to have a pool cover. pool has installed locks that were tested to not easily be removed. Per licensee, you need a specific tool to unlock the pool cover. Licensee walked on top of the pool cover to test cover. Per licensee, they only use part of the backyard, and block the rest of the backyard with chairs when children are outside. Per licensee, children are never near the pool.

LPA reviewed 6 children's records. LPA reviewed licensee’s and staff records. Licensee has a current CPR/First Aid certification and current Mandated Reporter certification. Licensee's CPR/First Aid certification will expire 5/2025 and Mandated Reporter certifications will expire 9/21/26.

Emergency disaster drills are conducted and are appropriately documented. Last disaster drill was conducted 8/15/24. Per licensee, they conduct drills the 15^th of every month. LPA observed licensing documentation to be properly posted, made available for review. Facility maintains a childcare roster that was also made available for review. Per licensee, there are no weapons or firearms in the home.

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.

(Continue Report on Page 3...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024

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: AGUADO, SUSAN & CARMICHAEL, CHRISTINE	FACILITY NUMBER: 414000300
	VISIT DATE: 09/20/2024

NARRATIVE

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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 athttps://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 childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee, Christine Carmichael, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed a Megan’s Law search on 09/19/2024.

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, Christine Carmichael.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024

LIC809 (FAS) - (06/04)

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