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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004550
Report Date: 06/30/2023
Date Signed: 06/30/2023 10:23:38 AM

Document Has Been Signed on 06/30/2023 10:23 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:GONZALEZ, KAREN F.FACILITY NUMBER:
414004550
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 4DATE:
06/30/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Licensee, Karen F. GonzalezTIME COMPLETED:
10:45 AM
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On June 30th, 2023, at approximately 8:40am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced inspection for increase of capacity today and met with licensee, Karen F. Gonzalez. for her request to increase from a Small to a Large Family Child Care. Fire Clearance was received by Redwood City Fire Department on 6/27/23. Fire Department excluded the use of of the Garage. Present in the home are licensee, assistant, teenage daughter caring for 4 children (2 infant and 2 preschool age). All adults living and working in the home have fingerprint clearance and are associated to the facility.

Licensee rents home, which is a three bedroom one bathroom house with front and backyard. Licensee lives in home with adult husband and two minor children. The hours of operation are Monday-Friday from 8am-6pm. LPA and licensee inspected new day care areas for health and safety hazards. New Daycare areas are: Bedroom #1, Living Room, Dining Room, Bathroom #1, and "side" backyard. OFF limit areas are: Bedroom #2 & #3, Kitchen, Converted Garage, In-Law Unit (backyard), Front yard, and "concrete" patio. All off limit areas, including all closets, are properly barricaded

LPA observed home to be clean and in good repair with proper temperature and ventilation. There is a variety of age appropriate toys and equipment in the home which are in good condition. There are no pools, spas, or bodies of water on the property. Home has a fireplace that is properly barricaded. Backyard is fenced and properly barricaded. All cleaning supplies, poisons, and other chemicals are stored inaccessible to children. There is a fully charged fire extinguisher, and a working telephone. Per Licensee, there are no weapons or firearms in the home. Licensee has a pet dog with proper documentation. Licensee's CPR & First Aid expires on 07/2023. Licensee's Mandated Reporter certificate expires on 03/2024. Postings were posted near main door. Licensee is reminded of NO walker, exersaucers, jumpers, bouncers and any similar items to be used for children in care and shall be made inaccessible. Capacity limits of a Small and Large Family Child Care Home were explained.

LPA will reccommend for approval of a Large Family Child Care Home License as of today, June 30th, 2023.

No deficiencies were cited today under CCR, Title 22, Div. 12, Chapt. 1.

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

Exit interview was conducted and report was reviewed by licensee, Karen F. Gonzalez.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE: DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/30/2023
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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