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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004667
Report Date: 02/07/2022
Date Signed: 02/07/2022 03:48:30 PM

Document Has Been Signed on 02/07/2022 03:48 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SANTIZO, MARIA L.FACILITY NUMBER:
414004667
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
02/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Maria SantizoTIME COMPLETED:
04:00 PM
NARRATIVE
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On 2/7/2022 at 1:15P.M. Licensing Program Analyst (LPA), Luis J. Gomez met with Licensee, Maria Santizo. Purpose of the inspection was explained and is for an unannounced, annual inspection. Present was the licensee caring for two children. (1 Infant Age, 1 Preschool Age). Licensee’s home is a 2-bedroom, 1-bathroom, 1 level unit. Days and hours of operations are, Monday – Friday, 8:00 A.M., to 5:00 P.M. Daycare areas are: Living Room (Playroom), Bedroom #2, Bathroom #1 and Front Yard Area Off limit areas: Bedroom #1, Kitchen/Dining area and Backyard. LPA inspected home, inside and outside, with licensee for health and safety hazards.

At 1:20P.M., LPA observed the following: Day-care was orderly with age appropriate books, toys and blocks for the children. All furniture and playthings inspected were in good repair. For napping services, infant crib and sleeping bags are located in bedroom #1. Per licensee, children’s napping supplies and sheets are washed weekly. Playroom has child seating area for snack and activities. Bathroom #1 had adequate supplies for the children. Bathroom fixtures were in operating condition. Licensee has installed child safety locks on accessible cabinets in bathroom #1. Facility was the proper temperature with adequate ventilation. Heater unit in playroom is properly barricaded.

At 1:30PM., Based on observations, LPA confirmed hallway lighting fixture, located next to playroom, was not in proper operating condition. During inspection, Advisory Note: Technical Assistance was issued. Off-limit areas were made inaccessible using child safety gates. Cleaning detergents, compounds, spray bottles and other items which could pose a danger, stored inaccessible to children. Home had a functioning cell phone, smoke detector, carbon monoxide detector and fully charged fire extinguisher (3A:40BC), located in kitchen.

At 1:35P.M., LPA inspected the Front Yard Area. Outdoor area was completely enclosed with the off-limit area was made inaccessible. Outdoor supplies and playthings were in proper condition. Licensee has installed large shaded rest area for the day-care children. Home does not have swimming pools, spas, hot tubs, fishponds or any other bodies of water. (REFER TO 809-CFOR CONT.)

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2022
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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Document Has Been Signed on 02/07/2022 03:48 PM - It Cannot Be Edited


Created By: Luis Gomez On 02/07/2022 at 02:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SANTIZO, MARIA L.
FACILITY NUMBER: 414004667

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 2:25P.M., Based on record review, LPA confirmed licensee missing required mandated reporter training certification on file.
POC Due Date: 02/18/2022
Plan of Correction
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Licensee will submit current mandated reporter training certificate to the Department by the due date: 2/18/2022. Proof of correction will submitted to the Department via email.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Cindy Interiano
LICENSING EVALUATOR NAME:Luis Gomez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2022


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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SANTIZO, MARIA L.
FACILITY NUMBER: 414004667
VISIT DATE: 02/07/2022
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At 1:45P.M., LPA reviewed the children and facility records. Children's records were reviewed and included: (LIC700) Identification of Emergency Information, (LIC995A) Notice of Parent's Rights and Proof of Updated Immunization Record.

At 2:15P.M., Based on record review, LPA confirmed Individual Infant Sleep Plan, LIC9224, missing from the children's files. During inspection, Advisory Note: Technical Assistance was issued.

At 2:00P.M., Based on observations and record review, LPA confirmed physical napping check is not documented by licensee, every 15 minutes. During inspection Advisory Note: Technical Assistance was issued.

At 2:25P.M., Based on record review, LPA confirmed licensee missing required mandated reporter training certification on file.

Facility is conducting Emergency Disaster Drills every 6 months, with last drill logged on 1/18/2022. Children's roster (LIC 9040)had been properly updated. Licensee’s CPR/1st aid certification is current, expiring: 11/8/2022. LPA observed required forms visibly posted in hallway include: Facility License, Emergency Disaster Plan, and Parent’s Rights. Per licensee, she provided all daily lunch service for children in care. Refrigerator was reviewed during inspection. Per licensee, no children in her care require IMS services. LPA reminded licensee that all children’s food containers brought from home are properly labelled. Per licensee, home does not have any no guns or weapons.

Licensee was reminded that all adults 18 years and over living or working in the home, including employee and volunteers, must obtain criminal 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 licensee and discussed Child Care Licensing Safe Sleep Web page at:https://www.cdss.ca.gov/inforesource/child-care-licesning/public-information-and-resources/safe-sleep as an additional resource. LPA informed licensee of the importance of checking for recalled infant devices on United States consumer Product Safety Commission (CPSC) website at http://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2022
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SANTIZO, MARIA L.
FACILITY NUMBER: 414004667
VISIT DATE: 02/07/2022
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tool, please send them to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesource/community-care-licensing/inspection-process.

Based on today's inspection, deficiencies were observed and cited in areas evaluated according to California Title 22, Health and Safety Code of Regulations. Exit interview was conducted with Licensee, Maria Santizo and her signature of this form acknowledges receipt of these documents. Notice of Site Visit was provided and must be posted for 30 days.



This licensing report and rights to appeal were discussed with licensee. This report must be available in the facility for public review. Licensee was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2022
LIC809 (FAS) - (06/04)
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