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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004989
Report Date: 09/05/2024
Date Signed: 09/05/2024 11:22:46 AM

Document Has Been Signed on 09/05/2024 11:22 AM - 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:LAU, LAURAFACILITY NUMBER:
414004989
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
09/05/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Laura LauTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 9/5/2024, at approximately 9:50 AM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced Case Management- Licensee Initiated inspection. LPA met with Licensee, Laura Lau and explained the purpose for the inspection. On 08/26/2024 the licensee applied for a Large Family Child Care Home (FCCH). The licensee has been licensed since 03/22/2023 and therefore has at least one year of experience to apply for a large Family Child Care Home. A fire clearance was granted on 08/29/2024 by the San Mateo Fire Department. Present during today's inspection were Licensee, two assistants and six children in care (3 infants and 3 preschoolers). The licensee is a small license and is operating within capacity limits and ratio.

Licensee rents home, which is a 2 bedrooms, 1 bathroom, single level house. Licensee lives in home. All adults living and working in the home have fingerprint clearance. Facility operates Monday Through Friday 8:00 AM to 5:00 PM.



Day Care Areas: Living room (play room), Kitchen, Bedroom #2/nap room, Bathroom, and Front yard.

Off Limit Areas: Bedroom #1 and garage. All off limit areas, including all closets, are properly barricaded.

At approximately 10:30 AM, LPA toured day care areas of home with licensee. LPA observed the home to be in good repair with proper temperature and ventilation. Home is equipped with a variety of toys and materials that were observed to be in working condition. LPA observed a two fully stocked accessible first aid kits located in the hallway closet. LPA did not observe any accessible cleaning supplies, poisons, and solutions in day care areas. LPA observed electrical outlets to be made inaccessible with outlet covers. Home is equipped with a fully charged fire extinguisher located in the garage. Home also has a smoke and carbon monoxide detector in kitchen area. Licensee does not have any children in care with allergies or IMS plans. Per licensee, she provides all foods for the children in care.

LPA observed bathroom for children's use was in proper working condition. LPA observed bathroom to include appropriate toileting equipment and sanitation products. LPA did not observe any hazardous materials to be accessible to children in the bathroom.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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: LAU, LAURA
FACILITY NUMBER: 414004989
VISIT DATE: 09/05/2024
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The entire front yard is fully enclosed. The outdoor area is equipped with a variety of toys and materials. LPA did not observe any pools, spas, or bodies of water in day care areas.

LPA reviewed one newly enrolled child's records which was complete. LPA was at facility 7/26/24 for annual inspection and reviewed all other children's documents on that date. LPA verified all documents were stored and available for review. The children’s files have a record of emergency identification information and required immunization. LPA reviewed staff records for licensee and two present staff which were complete. Licensee's CPR/FIrst Aid is current and will expire 2/2025. The licensee’s Mandated Reporter training certification is also current and will expire 02/2025. The licensee also has required immunization available for review for herself and her staff.

Licensee has licensing documentation properly posted and available for review. The licensee also maintains a childcare roster that was made available for review. Emergency disaster drills are conducted at least once every six months. The last disaster drill was conducted on August 26,2024. Per licensee, there are no weapons or firearms in the home.

Capacity limits of a Large Family Child Care License has been reviewed.

Large Family Child Care Home License is approved and will be effective as of, 09/05/2024.

No deficiencies were cited today under CCR, Title 22, Div. 12, Chapt. 1.



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 Lau.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC809 (FAS) - (06/04)
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