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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002410
Report Date: 09/28/2023
Date Signed: 09/28/2023 01:33:23 PM

Document Has Been Signed on 09/28/2023 01:33 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:TAPIA, ROSALBAFACILITY NUMBER:
414002410
ADMINISTRATOR:TAPIA, ROSALBAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 340-8630
CITY:BURLINGAMESTATE: CAZIP CODE:
94010
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
09/28/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Rosalba Tapia, Sindy GuardradosimancaTIME COMPLETED:
01:35 PM
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Licensing Program Analyst (LPA) Andrea Medlin met with facility representative for this plan of correction visit established on 9/20/2023. Purpose of visit explained. There are 6 children in care today: 2 infants and 4 preschool aged. LPA reviewed the files of children present during the visit. The following previously cited deficiency is observed to be corrected and cleared today:
  • 102416.5(d) - There may never be more than 4 infants in care at the same time. For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be:
(1) Twelve children, no more than four of whom may be infants.

LPA observed Licensee to be in compliance with ratios today as there are only 2 infants present during visit.

This report is reviewed with facility representative, Rosalba Tapia, and a copy of this report must be made available for public review upon request.

Notice of site visit posted and shall remain posted for 30 days.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Andrea Medlin
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023
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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