<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001409
Report Date: 01/16/2025
Date Signed: 01/16/2025 03:19:22 PM

Document Has Been Signed on 01/16/2025 03:19 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:DIAZ, MARIA BETTINA C.FACILITY NUMBER:
414001409
ADMINISTRATOR/
DIRECTOR:		DIAZ, MARIA BETTINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 579-2678
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
01/16/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:31 PM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
03:40 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 January 16, 2025, at approximately 1:30 a.m. Licensing Program Analyst (LPA) Zeynep Basak conducted an unannounced annual inspection and met the Licensee, Bettina Diaz and explained the purpose of the inspection to the licensee.

LPA observed the licensee supervising 6 children (2 infants, 4 preschoolers). The licensee complies with the licensing capacity during the time of inspection. The children's roster has been reviewed and found to be complete and up to date.

Licensee rents 3-bedroom home. Licensee stated that there are a total of 2 adults live in the home. LPA verified with the Guardian Roster that all present /living adults have criminal clearance. Per licensee, the operational hours of Child Care Home are Monday to Friday from 8:00 am to 5:00 pm.

Daycare Areas: Living Room, Kitchen/Dining Room, Bathroom #1, Backyard, and a pass-through section of the Garage.
Off-limits Areas: Bedroom #1, Bedroom #2, Bedroom #3, Bathroom #2, and Garage.
According to the licensee, there are no changes to the previously approved childcare areas and off-limit areas. LPA observed all off-limit areas are barricaded to be inaccessible to children in care.
LPA observed the home to be clean and in good repair with proper temperature and ventilation. There are two combo smoke and, carbon monoxide detectors, and a fully charged fire extinguisher in the size of 2A:10BC in the kitchen.

LPA observed the childcare home has a functioning telephone and LPA verified contact information. Per the licensee, there is no weapon, gun or firearm in the house. The licensee stated they provide breakfast, lunch, and p.m. snack in addition to drinking water.

See page 2.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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: DIAZ, MARIA BETTINA C.
FACILITY NUMBER: 414001409
VISIT DATE: 01/16/2025
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
26
27
28
29
30
31
32
Page 2.
LPA and the licensee inspected the childcare areas for health and safety hazards. LPA observed the childcare area found it to be cleaned, outlets are covered. LPA observed all cleaning supplies, and other chemicals are stored properly and made inaccessible to children. LPA observed a daycare area is equipped with age-appropriate furniture, toys, books, and educational materials.

Mats and individual sheets were observed in the napping area, and the licensee verified that children bring their sheets/blankets from home. The facility currently has two infants who sleep in cribs or play yards. No toys, blankets, or items hanging over the crib were observed.
The licensee was informed about the sleep log, to check infant children every 15 minutes during naptime. The licensee understood and acknowledged that no baby walkers, bouncers, or other similar items are permissible to be used during daycare hours.
LPA observed a fireplace in the living room and found it to be barricaded properly.

LPA observed the children's bathroom was clean and sanitary and there were no chemicals in the children's reach. LPA inspected the outdoor play area for health and safety hazards. LPA observed the play structures and sufficient toys and play materials in the back yard for children. No any hazards were observed by the LPA.
LPA confirmed with the licensee that they have an isolation area in the kitchen for ill children to wait until their guardians arrive. Per the licensee, no child has allergies and is using medication currently.

LPA reviewed the children's files and found LIC 282 is missing in files. LPA reminded the licensee and the licensee printed the form for parent's signature. LPA observed all other required records were in the file, including Emergency cards, and Parents Rights.
LPA reviewed the staff file and found the licensee has valid CPR & First Aid expire on 4/2026 and a valid Mandated Reporter training certificate which expires on 1/2026. The licensee stated she does not have any assistant/helper since after pandemic.

Per the licensee, the emergency drills are conducted at least once every six months, and the latest drill was conducted on January 6, 2025.

See page 3.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
Page: 2 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: DIAZ, MARIA BETTINA C.
FACILITY NUMBER: 414001409
VISIT DATE: 01/16/2025
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
26
27
28
29
30
31
32
Page 3.
LPA observed all required forms/ paper are posted in Child Care Home including Licenses, Parent's Rights posters, and Floor maps.

Per the licensee the facility does not carry liability insurance for the daycare.

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-and-resources/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.

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 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.

See page 4.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
Page: 3 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: DIAZ, MARIA BETTINA C.
FACILITY NUMBER: 414001409
VISIT DATE: 01/16/2025
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
26
27
28
29
30
31
32
Page 4.
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/.


No any deficiencies were determined and cited today.

During the exit interview, the LICENSEE confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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

Exit interview conducted and report was reviewed with the licensee, Bettina Maria. Diaz.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4