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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001759
Report Date: 03/10/2026
Date Signed: 03/10/2026 04:46:59 PM

Document Has Been Signed on 03/10/2026 04:46 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:AVILES, MONICAFACILITY NUMBER:
414001759
ADMINISTRATOR/
DIRECTOR:		AVILES, MONICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 568-9845
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 12DATE:
03/10/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:40 PM
MET WITH:Heidi Torres AvilesTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On March 10, 2026, at approximately 2:40pm, Licensing Program Analyst (LPAs) Maria Olguin-Leon and Catrina Quimbo met with assistant, Heidi Torres Aviles to conduct an unannounced annual inspection. Per assistant, licensee was not present due to family emergency. The purpose of the inspection visit was explained to assistant. Present during today’s visit were two assistants caring for 12 children (3 infants and 9 preschoolers). All adults present today have criminal background clearances and are associated to facility. Facility is in compliance with ratio capacity requirements. Facility operates Monday – Friday from 7:00 am to 6:00 pm.

Entrance into daycare room is on left side of home. Entrance into main home is the right-side door. LPAs observed Childcare License, Emergency Disaster Plan (LIC610A) and Parent's rights poster, posted at entrance of daycare and visible to the public. Last emergency drill was conducted March 6, 2026. Emergency drill is properly documented with time and date drill was conducted. Emergency drills are conducted monthly.

Home is equipped with a fully charged fire extinguisher, which is stored on daycare wall and easily accessible. LPAs inspected a fully stocked first aid kit. LPAs observed a smoke detector and carbon monoxide detector. Both detectors were tested today and are in working condition. Per Assistant, there are no weapons or firearms in the home.

LPAs inspected the indoors and outdoors of home for health and safety hazards. LPAs observed home to be free of defects or conditions that might endanger a child. Home was observed to be clean and orderly. Home is a one-story dwelling with 4 bedrooms and 2 bathrooms. Daycare areas are Daycare room, bathroom #1 and front yard. Off-limit areas are the rest of home, which includes, kitchen, living/dining room, storage room, bathroom #2, and all four bedrooms. Isolation area Sick children will be isolated in an area in daycare and kept away from other children. LPAs observed plenty of age-appropriate toys, child size furniture, books, playpens and steeping mats.

Cont. page 2...
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2026
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: AVILES, MONICA
FACILITY NUMBER: 414001759
VISIT DATE: 03/10/2026
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LPAs observed the daycare area flooring to have rugs and carpeting to absorb and cushion falls. The home has proper heating, lighting and ventilation to provide safety and comfort. LPAs observed a door in between daycare room and the rest of home inaccessibility to off limits areas. Electrical outlets are secured with childproof covers and barricaded with furniture.

Children’s bathroom was observed to be clean. LPAs observed a diaper changing table in daycare room with children’s diapering supplies. Cleaning supplies and other potentially harmful items are stored inaccessible to children and behind child proof cabinets. Per assistant, diapers and wipes are provided by children's families and are disposed of daily.

LPAs observed a two playpen and several sleeping mats for children's napping purposes. Sleeping mats are stored inside of playpens when not in use. Sleeping mats appear to be in good condition. Licensee provides sheets for playpens and sleeping mats. Bedding is washed weekly or as needed. Assistant stated two infants sleep in playpens that are free of blankets and loose articles.

Front yard is enclosed with a 3-ft wood fence with a latched gate. LPAs observed climbing/slide play structure and a small slide, all in good condition. Front yard flooring is tanbark underneath play structure and grass/artificial grass to absorb and cushion fall. LPAs did not observe any pool, spas, or other bodies of water.

Licensee provides a meal service for children in care, which includes breakfast, lunch and snacks. LPA reminded licensee that any food brought from home must be labeled and stored properly. LPA observed highchairs and child size table and chairs for child to sit and eat. LPA observed kitchen to be clean, and food properly stored to avoid contamination or spoilage.

LPAs reviewed 12 children’s files and 2 assistant’s files; all files were complete. Individual Infant Sleeping Plans (LIC9227s) were observed to be in children's files. Sleep logs were only maintained for infants under one years old, Type B deficiency cited. LPA reminded assistant that 15-minute sleep logs must be maintained for all infants under two years old. Technical violation was previously cited for 15-minute sleep logs for children under 2 yrs. old. Children’s roster was reviewed and is up to date. Licensee’s CPR/FA expiration date is 7/2027 and licensee’s Mandated reporter ex. 08/2026.

Cont. page 3...
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
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: AVILES, MONICA
FACILITY NUMBER: 414001759
VISIT DATE: 03/10/2026
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Assistant Heidi Torres Aviles 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 assistant Heidi Torres Aviles 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 assistant 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.

As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. LPA reminded assistant about Mandated Reporter training available www.mandatedreporterca.com. Assistants present have current Mandated Reporter certificates that were available for review.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Assistant Heidi Torres Aviles 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.

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
LIC809 (FAS) - (06/04)
Page: 6 of 7
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: AVILES, MONICA
FACILITY NUMBER: 414001759
VISIT DATE: 03/10/2026
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Assistant was reminded about the Provider Information Notices (PINs) on the CCLD website. Assistant was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

During the exit interview, the Assistant Heidi Torres Aviles, confirmed that there are no Registered Sex Offenders living in the home 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.

See page LIC809 for one type B deficiency cited during today’s visit, under CCR, Title 22, Division 12.

A notice of site visit was given to assistant, Heidi Torres Aviles and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days

Exit interview conducted and report was reviewed with assistant, Heidi Torres Aviles
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
LIC809 (FAS) - (06/04)
Page: 5 of 7
Document Has Been Signed on 03/10/2026 04:46 PM - It Cannot Be Edited


Created By: Maria Olguin-Leon On 03/10/2026 at 04:04 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: AVILES, MONICA
FACILITY NUMBER: 414001759

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in 3 out of 3 infants (under 24 months old) did not have 15 minute sleep logs, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/27/2026
Plan of Correction
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Sleeping logs were maintained for infants under 12 months, however, not for infants under 24 months. Licensee will maintain 15 minute sleep logs for all infant children under 24 months old. Licensee will email LPA two weeks worth of 15 minute sleep logs for all three infants enrolled by POC dute date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:
Maria Olguin-Leon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2026


LIC809 (FAS) - (06/04)
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