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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004559
Report Date: 11/14/2024
Date Signed: 11/14/2024 10:30:21 AM

Document Has Been Signed on 11/14/2024 10:30 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:CUEVAS-CENDEJAS, ZENAYDA & GILES, RAULFACILITY NUMBER:
414004559
ADMINISTRATOR/
DIRECTOR:		CUEVAS-CENDEJAS, ZENAYDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 630-4071
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
11/14/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:29 AM
MET WITH:Zenayda Cendejas Cuevas and Raul GilesTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
NARRATIVE
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On November 14, 2024, at approximately 8:30 a.m., Licensing Program Analyst (LPA) Zeynep Basak conducted an unannounced annual inspection and met the licensees, Zenayda Cuevas Cendejas and Raul Giles. LPA explained the purpose of the inspection to the licensees.

LPA observed the licensees and six children (three infants and three toddlers). The licensee complied with the licensing capacity during the inspection.

LPA verified with the Guardian Roster that all present adults have criminal clearance and are associated. According to the licensees, there are no changes to the previously approved childcare and off-limit areas.

Licensees rent a 3-bedroom home. Licensees stated that there is a total of 3 adults living in the home. Per licensees, the operational hours of Childcare Home are Monday to Friday from 8:00 am to 5:30 pm. Day Care Areas: Living room, dining room, Bedroom#1, bathroom, and the backyard. Off Limit Areas: Bedroom #2 bedroom #3, kitchen, and garage.

LPA observed the home to be clean and in good repair with proper temperature and ventilation. There is a combo of smoke detectors and carbon monoxide detectors in the room and a fully charged fire extinguisher in the size of 2A:10BC in the kitchen area. The childcare home has a functioning telephone. LPA verified contact information. Per the licensees, there are no firearms, guns, or weapons in the home. The licensees stated they provide breakfast, lunch, morning and afternoon snacks, in addition to drinking water.
See page 2.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2024
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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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: CUEVAS-CENDEJAS, ZENAYDA & GILES, RAUL
FACILITY NUMBER: 414004559
VISIT DATE: 11/14/2024
NARRATIVE
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LPA and the licensee inspected the childcare areas for health and safety hazards. The childcare area is clean and free from hazards. LPA observed all cleaning supplies, and other chemicals are stored properly and inaccessible to children. LPA observed a daycare area is equipped with age-appropriate furniture, toys, books, and educational materials.

3 cribs and cots were observed in the napping area. LPA confirmed with the licensee they have an isolation area in the backyard or at the corner of the daycare area for ill children to wait until their parents arrive.

During today's inspection, the facility has 3 infant children who sleep in cribs and LPA reviewed the sleep log for each infant. The Licensee understood and acknowledged that no baby walkers, bouncers, or other similar items are permissible to be used during daycare hours.

LPA reviewed the licensees have valid CPR & First Aid, and Mandated Reporter Training. Per the licensee, the emergency drills are conducted at least once every six months, and the latest drill was conducted on August 16, 2024.

LPA reviewed the children's files and verified all required records were in the file, including Immunization records, Emergency cards, and Parental rights forms.

LPA observed all mandatory postings are posted in Childcare Homes including Licenses, Parent's Rights posters, and Floor maps.
Per the licensee currently, no child has an allergy in the childcare home.

Licensees were reminded about the Provider Information Notices (PINs) on the CCLD website. The licensee 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.
See page 3.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
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: CUEVAS-CENDEJAS, ZENAYDA & GILES, RAUL
FACILITY NUMBER: 414004559
VISIT DATE: 11/14/2024
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The licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with the licensee and discussed the Child Care Licensing Safe Sleep webpage https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the licensee of the importance of checking for 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.

Incidental Medical Services (IMS) policy was discussed. Per licensees there was no child present has an allergy at the facility. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) / (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: www.ada.gov/childqanda.htm.
LPAs reviewed AB 1207 with the Licensees. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

See page 4.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
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: CUEVAS-CENDEJAS, ZENAYDA & GILES, RAUL
FACILITY NUMBER: 414004559
VISIT DATE: 11/14/2024
NARRATIVE
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families find childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.


During the exit interview, the LICENSEEs, Zenayda Cuevas Cendejas and Raul Giles confirmed that there are no Registered Sex Offenders living in the facility, and LPA completed the RSO profile in FAS.

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

An exit interview was conducted, and the report was reviewed with the licensees,
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
LIC809 (FAS) - (06/04)
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