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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004797
Report Date: 12/07/2023
Date Signed: 12/07/2023 04:40:42 PM

Document Has Been Signed on 12/07/2023 04:40 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:TORRES OLIVEROS, ANDREA & RAMOS ARIAS, LAURAFACILITY NUMBER:
414004797
ADMINISTRATOR:TORRES OLIVEROS, ANDREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 295-9483
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
12/07/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Licensee, Laura Ramos AriasTIME COMPLETED:
04:50 PM
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On 12/7/2023, at approximately 3:00PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit to the facility. LPA was granted entry to the facility by Licensee, Laura Ramos Arias. LPA explained the purpose of the visit. Present during the visit was the Licensee, a helper (H1), an adult family member, four infants, and two preschool age children. All adults present in the home have fingerprint clearance and are associated to the facility. The facility is in compliance with capacity requirements on this day. The facility’s normal operating hours are from 7:30AM to 5:30PM.

The home is a single-level, two-bedroom, one-bathroom home.
Daycare Areas: Living Room (Play Room), Dining Area/ Kitchen, Bedroom #1 (used as a Napping Room), Bathroom #1 and Backyard.
Off-limit Areas: Bedroom #2, Bathroom #2 and Garage (Pass through only).

LPA and Licensee inspected the home for any health and safety hazards. The home was observed to be in clean and orderly condition. There are age-appropriate toys and learning materials present in the Living Room. The cribs in Bedroom #1 were observed to be clear and free of any loose articles, clothing, or toys. The facility provides bedding and sheets and cleans them once a week. There is a fireplace present in the Living Room that is kept inaccessible to children by a childproof gate. LPA observed electrical outlets that weren’t obstructed by furniture to be secured with childproof covers. The home is equipped with a fully charged 3A40BC fire extinguisher. There is a combination smoke and carbon monoxide detector present in the home. LPA observed the first aid kit present in the home to be equipped with all materials necessary for the administration of first aid. All off-limits areas are kept inaccessible to children with childproof doorknobs and gates. Per Licensee, there are no firearms present in the home.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2023
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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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: TORRES OLIVEROS, ANDREA & RAMOS ARIAS, LAURA
FACILITY NUMBER: 414004797
VISIT DATE: 12/07/2023
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LPA observed the Backyard to be in clean condition. All toys and equipment present in the yard are age-appropriate and kept in good repair. The Backyard is enclosed by a fence that is at least five feet high. There is a shed that is off-limits and inaccessible to children due to a lock. There are no pools or other bodies of water present in the facility.

LPA reviewed two staff files and six children’s files. Licensee’s First Aid/CPR training expires on 4/2025, and Mandated Reporter Training expired on 9/2023. LPA reminded Licensee that both trainings must be renewed every two years. All immunization records are present and available for review. All children’s files were observed to complete, and included sleep logs for all children who were and are currently enrolled as infants.

LPA observed all required postings to be posted in the entryway to the home. The last emergency drill conducted was in 1/2023. LPA reminded Licensee of requirement to conduct an emergency drill at least once very six months. All other drills were observed to be properly logged and documented. The facility prepares breakfast, lunch, and AM/PM snack for children in care.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.




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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: TORRES OLIVEROS, ANDREA & RAMOS ARIAS, LAURA
FACILITY NUMBER: 414004797
VISIT DATE: 12/07/2023
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LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed 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. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, Licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

No deficiencies were cited during today's visit. See LIC9102 for Technical Violations given today.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Laura Ramos Arias.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
LIC809 (FAS) - (06/04)
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