<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004973
Report Date: 02/15/2024
Date Signed: 02/15/2024 12:37:57 PM

Document Has Been Signed on 02/15/2024 12:37 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:PONCE-GONZALEZ, ELIZABETHFACILITY NUMBER:
414004973
ADMINISTRATOR:PONCE-GONZALEZ, ELIZABETHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 346-6687
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 8DATE:
02/15/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Elizabeth Ponce-GonzalezTIME COMPLETED:
12:50 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On February 15, 2024, at approx. 11:55AM, Licensing Program Analyst (LPA) Maria Olguin-Leon, conducted an unannounced, plan of correction (POC) visit. LPA met with Licensee, Elizabeth Ponce-Gonzalez, and explained the purpose of the visit. Present during LPA visit was Licensee, helper and 7 children (2 infants and 5 preschool age children.

On January 31, 2024, LPAs Maria Olguin-Leon and Janet Gil met with licensee to conduct an annual inspection visit. During visit, LPAs observed facility to be operating over capacity with 2 infants and 6 preschoolers. LPAs issued a Type A citation for operating over licensed capacity limits. A POC was developed with licensee.

On February 1, 2024, Licensee emailed LPA new schedule for children in care, along with a letter for child attending school. On February 6, 2024, licensee was approved for increase of capacity for a large daycare. As of this date, LPA Olguin-Leon confirmed the licensee is operating within capacity limits and staff ratios.

During today's visit, LPA observed signed and completed Acknowledgement of Receipt of Licensing Reports (LIC9224) for 8 children. LPA observed facility site visit and reports posted.

Deficiency cited on January 31, 2024, has been cleared as of this date. LPA provided licensee a copy of POC letter. No deficiencies were cited today.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with licensee, Elizabeth Ponce-Gonzalez.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2024
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 1