414002951-3-4-2025-05-CC-ZBAK-DEFRBK-20250304115253

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002951
Report Date: 02/25/2025
Date Signed: 03/04/2025 11:53:17 AM

Document Has Been Signed on 03/04/2025 11:53 AM - 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:	PALMIERY, GERALDINE		FACILITY NUMBER:	414002951
ADMINISTRATOR/ DIRECTOR:	PALMIERY, GERALDINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 477-3507
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94401
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 9	CENSUS: 8	DATE:	02/25/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:15 AM
MET WITH:	Geraldine Palmiery		TIME VISIT/ INSPECTION COMPLETED:	12:15 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 March 4, 2025, at approximately 8:15 a.m., Licensing Program Analyst (LPA) Zeynep Basak conducted an unannounced annual inspection, met the licensee, Geraldine Palmiery, and explained the purpose of the inspection. LPA observed the licensee, two assistants, and 8 children (preschool) present. The licensee complied with the licensing capacity during the inspection. The children’s roster had been reviewed and was found to be complete and up to date. The licensee rents a three-bedroom home and stated that three adults live there. LPA verified with the Guardian Roster that all present/live-in adults have criminal clearance. Per the licensee, the Childcare Home's operational hours are Monday through Friday, from 8:00 a.m. to 4:30 p.m. The daycare areas: Living room (daycare room), bathroom #1, the hallway (only pass through to bathroom), and the side yard. Off-limits areas: Kitchen, bedroom #1,2,3, the laundry room, and the storage area of the side yard. According to the licensee, there have been no changes to the previously approved childcare areas and off-limits areas. LPA observed all off-limits areas to be securely barricaded and inaccessible to children in care. LPA observed the home to be clean and in good repair with proper temperature and ventilation. LPA observed smoke alarms in the living room and a carbon monoxide detector in the hallway. and a fully charged fire extinguisher in the size of 2A:10BC in the kitchen. LPA observed the childcare home to have a functioning telephone and verified contact information. Per the licensee, there is no firearm in the home. The licensee stated that breakfast, lunch, and p.m. snacks were provided for children in addition to drinking water. See page 2.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

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: PALMIERY, GERALDINE	FACILITY NUMBER: 414002951
	VISIT DATE: 02/25/2025

NARRATIVE

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LPA and the licensee inspected the childcare areas for health and safety hazards. LPA observed the daycare area to be clean, with all outlets covered. LPA observed some chemicals in children's reach in the side yard the licensee removed them and placed them in an area inaccessible to children. A Technical Violation will be issued. LPA observed the daycare area to be equipped with age-appropriate furniture, toys, books, and educational materials.

LPA observed sleeping bags in the daycare to be used for napping. LPA discussed it with the licensee to have children not being restrained from moving. The licensee stated they do not zip them. The licensee was informed about safe sleep regulations and maintaining a sleep log to check on infants every 15 minutes during naptime. The licensee acknowledged that no baby walkers, bouncers, or similar items are used during daycare hours.

LPA inspected the children’s bathroom and observed it to be clean and sanitary, with no chemicals within the children’s reach. LPA inspected the side yard play area for health and safety hazards and found sufficient toys and play materials in the play area for children.

LPA confirmed with the licensee that an isolation area is available in the sideyard for ill children while waiting for their guardians to arrive.
The licensee confirmed that no children currently have allergies or require medication.

LPA reviewed five children’s files and found that LIC 995A was not filled and signed and some children's immunization records were not available for review. The licensee contacted the parents to send the results, and LPA reviewed the records during the inspection.
LPA reviewed the staff file and found the licensee and assistants have a valid CPR certification that expires in February 2026. The helper and the licensee have a valid Mandated Reporter training certificate that expires on 5/2026 and 3/2026. The licensee could not provide staff's immunization records to review during the inspection. The licensee stated she will provide them to the LPA via email by tonight. A Technical Violation will be issued today.
Per the licensee, emergency drills are conducted once a month, and the latest drill was conducted on February 13, 2025. See page 3.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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: PALMIERY, GERALDINE	FACILITY NUMBER: 414002951
	VISIT DATE: 02/25/2025

NARRATIVE

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Per the licensee, the facility carries liability insurance for the daycare, and the copy was provided to LPA for placement in the physical file.

The licensee was reminded that all adults 18 years of age or older living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption as specified in Health and Safety Code Section 1596.871. This must occur prior to initial presence in a licensed Family Child Care Home. LPA informed the licensee that a civil penalty of $100 per person per day will be assessed for unqualified adults present for a maximum of five days. If this is a repeat violation, the penalty may increase to $500 per person per day after the fifth day.

LPA discussed the safe sleep regulations with the licensee and shared the Child Care Licensing Safe Sleep webpage located at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the licensee about the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov. LPA recommended that the licensee 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 inspection process, LPA informed the licensee that a survey may be sent to the email address on file. The licensee was encouraged to complete the survey and share her inspection experience. For additional information regarding the inspection process, the licensee was referred to the program website at https://www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Incidental Medical Services (IMS) policy was discussed with the licensee. For additional information, LPA referred the licensee to PIN 22-02-CCP. LPA informed the licensee that when any IMS is provided, a Plan for Providing IMS must be submitted to the Department. Information regarding ADA compliance was also shared, including the toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY). A publication titled “Commonly Asked Questions about Child Care Centers and the ADA” is available at https://www.ada.gov/resources/child-care-centers/.
See page 4.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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: PALMIERY, GERALDINE	FACILITY NUMBER: 414002951
	VISIT DATE: 02/25/2025

NARRATIVE

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LPA also provided information about the MyChildCarePlan.org website, a consumer education resource that connects families with childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

A Type B violation was issued on LIC809D and documented in the report.

During the inspection, the licensee confirmed that there were no registered sex offenders living in the facility. LPA completed the RSO profile in FAS.

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

The exit interview was conducted, and the report was reviewed with the licensee, Geraldine Palmiery.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

LIC809 (FAS) - (06/04)

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