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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004106
Report Date: 11/28/2023
Date Signed: 11/28/2023 11:39:02 AM

Document Has Been Signed on 11/28/2023 11:39 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:NIMTHEERAPAT, NATTAFACILITY NUMBER:
414004106
ADMINISTRATOR:NIMTHEERAPAT, NATTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 235-9406
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 8DATE:
11/28/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:34 AM
MET WITH:Natta NimtheerapatTIME COMPLETED:
11:55 AM
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On November 28, 2023, at approximately 10:34 PM, Licensing Program Analyst (LPA) Maria Olguin-Leon, conducted an unannounced, plan of correction (POC) visit. LPA met with Licensee, Natta Nimtheerapat and explained the purpose of the visit. Present during visit was Licensee, Licensees spouse (helper) and 9 children (4 infants and 5 preschool age). Licensee is within ratio of staff/children capacity.

On November 15, 2023, LPA Maria Olguin-Leon met with licensee for an annual inspection. During visit, LPA observed facility to be operating over capacity with 5 infants and 4 preschoolers. LPA issued a Type A citation for operating over licensed capacity limits. A POC was developed with licensee.

As of this date, LPA Olguin-Leon confirmed the licensee to have four infants and four preschoolers present. Licensee emailed the new children’s schedule to LPA on 11/22/2023. During today’s visit LPA and Licensee reviewed schedule together. Per licensee schedule reflects the days an infant is not scheduled to attend daycare, thus keeping infant capacity to four infants per day. Schedule will be in effect until one infant turns two years old on February 18, 2024. LPA observed licensee to be operating within licensed capacity limits on this date.

During today's visit, LPA observed signed and completed Acknowledgement of Receipt of Licensing Reports (LIC9224) for the 9 children currently enrolled. LPA reminded Licensee that all newly enrolled children in the next 12 months must have a LIC 9224 on file. LPA observed facility site visit and reports posted.

Deficiency cited on November 15, 2023, has been cleared as of this date. LPA provided licensee copy of POC letter. No deficiencies were cited today.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with licensee, Natta Nimtheerapat.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2023
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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