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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004727
Report Date: 11/08/2024
Date Signed: 11/08/2024 03:24:35 PM

Document Has Been Signed on 11/08/2024 03:24 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:FRETES, KAREN P.FACILITY NUMBER:
414004727
ADMINISTRATOR/
DIRECTOR:		FRETES, KAREN P.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 513-1664
CITY:BURLINGAMESTATE: CAZIP CODE:
94010
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
11/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Licensee, Karen P. FretesTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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On November 8, 2024, at approximately 1:20pm, Licensing Program Analyst (LPA) Melissa Zaragoza conducted an unannounced, case management visit. LPA met with the licensee Karen P. Fretes and explained the purpose of the visit. Present during LPA's visit included the licensee, 1 staff assistant, and 3 children (2 infant and 1 preschool age).

Licensees requested for a room addition to their childcare license. The licensee submitted an application for an update to their license, to department on November 1, 2024.

Licensee, lives in the home with their adult son and mother. All adults living and working in the home have fingerprint clearance on file. Hours of operation are Monday through Friday 8:00am to 5:30pm

The DAY CARE AREAS now approved are the living room, dining room, bathroom, deck, and front yard. The OFF LIMIT AREAS are the kitchen, bedroom #1, bedroom# 2, and the garage. Off limit areas are made inaccessible with child safety door handles and/or a child safety gate. Home is equipped with a fully charged fire extinguisher, first aid kit and a dual smoke and carbon monoxide detector. LPA observed a dual smoke and carbon monoxide detector in the dining room.

LPA observed the front yard of the home for any health and safety hazards. Front yard has a wooden fence enclosing the yard. Front yard fence has an entrance door attached to the gate. Per licensee, fenced door was created to automatically close on its own, if its left open. Gate door has two locks installed for protection. LPA observed the front yard to have many toys and material that were age appropriate for the children in care. LPA observed toys to be well kept and in proper working condition. Licensee installed cover corners for protection in the cement stairs in the front yard. LPA did not observe any pools, spas, or bodies of water in the front yard.


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Marie RodriguezTELEPHONE: (650) 266-8827
Melissa ZaragozaTELEPHONE: 650-266-8800
DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2024
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 2
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: FRETES, KAREN P.
FACILITY NUMBER: 414004727
VISIT DATE: 11/08/2024
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LPA will approve the room addition of the front yard to the childcare license, as of today’s date, 11/08/2024.

No deficiencies were issued during today's visit. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Karen P. Fretes.
SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8827
LICENSING EVALUATOR NAME: Melissa ZaragozaTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
LIC809 (FAS) - (06/04)
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