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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004667
Report Date: 02/14/2023
Date Signed: 02/14/2023 04:56:02 PM

Document Has Been Signed on 02/14/2023 04:56 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
PENINSULA CHILD CARE, 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: 0DATE:
02/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Maria SantizoTIME COMPLETED:
02:45 PM
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On 2/14/2023 at 1:00PM., Licensing Program Analysts (LPA), Luis J. Gomez met with Licensee, Maria Santizo. Purpose of the inspection was explained and was for an unannounced; Annual Random inspection. Present in facility was the licensee and no children. Adults have criminal record clearances on file. Licensee occupies in-law unit, which is 2 bedroom, 1 bathroom and 1 level. Days and hours of operation are: Mon- Fri: 8:00am- 5:30pm. Per licensee childcare is currently closed. 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 1:15PM., the following was observed: Facility was orderly with age-appropriate playthings available. Floors and ground surfaces was clear of obstructions or hazards. Accessible furniture, blocks and books inspected were in good repair. Licensee has child sized table and chairs for food services and seated actives. For napping services, LPA observed playpen stored in bedroom #1. LPA observed playpen available (with tight fitting sheets).

At 1:25PM., Based on observations, LPA confirmed bedroom #1, not properly set up for childcare services. Advisory Note: Technical Violation (LIC9102TV) was issued.

Bathroom was equipped with adequate supplies for hand washing. Fixtures tested were in operating condition. Off-limit areas have been made inaccessible. Facility was the proper temperature, with ventilation and lighting. Home had functioning cellphone; smoke detector and fire extinguisher, 2A:10BC. LPA reminded licensee to ensure home has functioning carbon monoxide detector.

(REFER TO 809C, FOR CONT)

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2023
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SANTIZO, MARIA L.
FACILITY NUMBER: 414004667
VISIT DATE: 02/14/2023
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At 1:30PM., LPA inspected the outdoor play area. Playthings inspected were in proper repair. Outdoor play area does not any pools, fishponds, or bodies of water on the premises. Per licensee, due to rains, tree in front yard is at risk of falling. Area has been removed from on-limit areas. Per licensee she has notified her landlord.

LPA reviewed facility records were reviewed during inspection. Licensee confirm mandated reporter training is current, expiring: 2/28/2024. Licensee’s Cardiopulmonary Resuscitation (CPR)/ First Aid certifications were current expires: 1/27/2025.

LPA reminded licensee to conduct, and document emergency disaster drills once every 6 months.



Required posting are posted in entry way and include: the Childcare License, Notification Parent’s Rights (PUB379), and Emergency Disaster Plan (LIC610A). Per licensee, isolation of ill children is in playroom. LPA stated she has one dogs. Per licensee, pet are vaccinated. Per licensee, home does not have firearms.

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.

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.

During inspection, licensee submitted the LIC9211, Inactive Status Request.

Based on today's inspection, no deficiencies were observed in areas evaluated according to California Title 22, Div. 12 Chap. 3 Health and Safety Code of Regulations. Exit interview and report was discussed with Licensee, Maria Santizo, and signature of this form acknowledges receipt of these documents.



Notice of Site Visit was provided and must be posted for 30 days.

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 1-844-538-876
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2023
LIC809 (FAS) - (06/04)
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