414001481-11-25-2025-05-CC-CQUO-DNRVWE-20251125154750

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001481
Report Date: 11/25/2025
Date Signed: 11/25/2025 03:48:00 PM

Document Has Been Signed on 11/25/2025 03:48 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:	TRAN, ARMIDA ISABEL		FACILITY NUMBER:	414001481
ADMINISTRATOR/ DIRECTOR:	TRAN, ARMIDA ISABEL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 592-8832
CITY:	BELMONT	STATE: CA	ZIP CODE:	94002
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 7	CENSUS: 5	DATE:	11/25/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:50 PM
MET WITH:	Armida Isabel Tran		TIME VISIT/ INSPECTION COMPLETED:	04:20 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 November 25, 2025 at approximately 12:50pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with licensee, Armida Isabel Tran, and explained the purpose of the visit. Present during LPA's visit included licensee, licensee's adult daughter/assistant, and 5 enrolled children (2 infants and 3 preschool age children). Licensee is operating within capacity limits and ratio during LPA's visit. Licensee lives in the multi-level home with their spouse, adult daughter, and one minor child. All adults living in the home have fingerprint clearance on file. Licensee stated they are aware children under 10 years old living in the home are counted towards their total capacity. Hours of operation are Monday through Friday 8:00am to 5:00pm. With licensee, LPA toured day care areas for health and safety hazards. The DAY CARE AREAS are the lobby area (for diapers and cubbies), hallway bathroom in lobby area, nook area (dining area), family room (main play area), portion of sun room (napping area), front yard and backyard. The OFF LIMIT AREAS are portion of sun room, garage, master bedroom, bedrooms #1 through #3, dining room, kitchen, and living room. The portion of the sun room that is off limits is made inaccessible with a child safety gate. Access to remainder of off limit areas are through closed doors that are locked. LPA observed day care areas to include a variety of toys and materials that are age appropriate. Flooring in day care area includes soft padding that is in good condition. LPA observed cleaning solutions and chemicals to be made inaccessible in home's high shelves. There is an age appropriate play structure in the main play area that is in good condition. Home is equipped with a fully charged fire extinguisher, emergency backpack, smoke alarms, and a carbon monoxide detector. LPA tested carbon monoxide detector during today's visit which was observed to be in working condition. (Continue Report on Page 2...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 11/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025

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: TRAN, ARMIDA ISABEL	FACILITY NUMBER: 414001481
	VISIT DATE: 11/25/2025

NARRATIVE

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Bathroom for children's use is located in the lobby area. LPA observed bathroom to be equipped with age appropriate toileting equipment. LPA also observed bathroom to be in working condition. There is a diaper changing table in the lobby area. Diapers and wipes are provided by children's families. LPA observed diapers and wipes to be stored appropriately, labeled with children's names. Licensee disposes dirty diapers in garbage bin with a tight fitting lid.

Children sleep in the main day care area on cots. Sheets and blankets are provided by children's families and are sent home weekly for laundering. Cots are stored appropriately when not in use. Licensee stores children's sheets in cubbies so that they are not touching each other.

Infants sleep in cribs in the sun room. LPA observed a crib in sun room to have a mobile attached to the side of the crib, and hanging over the crib. LPA reminded licensee nothing can be attached to the crib or hang over the crib. A type B deficiency was issued. Licensee removed mobile from crib during LPA's visit. Deficiency was cleared.

LPA observed infant present to fall asleep while being bottle fed. LPA observed licensee's daughter to move infant to a crib right away once infant fell asleep. LPA observed infant to sleep in a crib, free of loose articles and objects. Sleeping logs are maintained for napping infants through an electronic application. LPA reviewed random months of sleeping logs from September through November 2025. LPA observed sleeping logs to document the initial time the infant falls asleep, the time the infant wakes up, the 15 minute time stamp of when the napping infant was checked on while sleeping and the sleeping position of the infant. Licensee also has a completed Individual Infant Sleeping plan form (LIC9227) for infant under 12 months.

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.

Children play in the front yard and backyard. Both yards are entirely enclosed and fenced. LPA observed outdoor areas to include a variety of outdoor toys and materials that are in good condition. There are swings and a play structure with resilient padding underneath. Per licensee, outdoor toys and materials are washed weekly. LPA did not observe any pools, spas or bodies of water on site.

Licensee provides a food service that includes breakfast, lunch, and snacks. Reusable dishes and utensils are utilized and sanitized daily.
(Continue Report on Page 3...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 11/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025

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: TRAN, ARMIDA ISABEL	FACILITY NUMBER: 414001481
	VISIT DATE: 11/25/2025

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/.

LPA reviewed facility records that included all enrolled children's records. Children's records are complete with emergency information and immunization records. LPA reviewed licensee and daughter's records. Licensee's CPR certificate has expired as of 08/2025. Per licensee, their CPR renewal was conducted 11/22/2025, however, has not received their certificate as of this date. Licensee provided LPA proof of their registration directly from the CPR trainer. Licensee will provide proof of completed certificate to LPA. Licensee and daughter have proof of their immunization records that were made available for LPA's review.

Licensing documents are posted in the lobby area. Emergency disaster drills are conducted at least once every six months. Last documented drill was conducted 6/8/2025. A childcare roster is also maintained and was made available for LPA's review. Per licensee, there are no weapons or firearms in the home.

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 Armida Isabel Tran, 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.

A type B deficiency was issued for a mobile attached to a crib, that hung over the crib. Licensee removed mobile during LPA's visit. Deficiency was also cleared during visit.

A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided to licensee.

Exit interview conducted and report was reviewed with the licensee, Armida Isabel Tran.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 11/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/25/2025 03:48 PM - It Cannot Be Edited

Created By: Catrina Quimbo On 11/25/2025 at 03:04 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: TRAN, ARMIDA ISABEL	FACILITY NUMBER: 414001481
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/25/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(b)(3)

(b) Cribs or play yards shall be free from all loose articles and objects. (3) There shall be no objects hanging above or attached to the side of the crib. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. LPA observed a mobile attached to the side of the crib, hanging above the crib which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/25/2025
	Plan of Correction
1 2 3 4	LPA reminded licensee no objects can be attached to the crib nor hang over a crib. Per licensee, mobile was purchased recently. Licensee removed mobile during LPA's visit. Deficiency cleared during visit.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:

	Catrina Quimbo
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025

LIC809 (FAS) - (06/04)

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