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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005152
Report Date: 11/08/2024
Date Signed: 11/08/2024 03:44:18 PM

Document Has Been Signed on 11/08/2024 03:44 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:BARBIN, GABRIELA A.FACILITY NUMBER:
414005152
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
11/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:40 PM
MET WITH:Gabriela BarbinTIME VISIT/
INSPECTION COMPLETED:
04:00 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 November 9, 2024, at approximately 2:40pm, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced, case management visit for an increase of capacity. LPA met with the licensee Gabriela Barbin and explained the purpose of the inspection. Present during today’s visit was licensee, helper, licensee’s minor daughter and 6 children (2 infant and 4 preschool age). All adults present today have criminal background clearance. Hours of operations are 8:00am to 6:00pm.

Licensees requested to increase capacity from a small family childcare home to a large family child care home. Capacity increase application was submitted to department October 18, 2024. Fire clearance approval was received in Regional Office on October 24, 2024.

With applicant, LPA inspected the indoors and outdoors of the home for health and safety hazards. Home is a two-level story home; downstairs consist of entrance foyer, living room, family room, kitchen/dining room, laundry room, bathroom, and garage. Second floor consist of 5 bedrooms, bathroom, and. master bathroom. The DAY CARE AREAS: are entrance foyer, living room, family room and bathroom, bedroom #2 and #4 for napping only and backyard. The OFF-LIMIT AREAS the kitchen/dining room, laundry room, garage, bedrooms #1, #3, #5, upstairs bathroom, and master bathroom. Applicant was notified any off-limit areas are not to be used as a day care area without prior approval from department. Applicant understand applicant will need to be on the same floor where children are napping. LPA observed newly installed remote emergency strobe siren alarm system located at left wall of entrance to home.

Capacity limits and ratios for a large family day care were reviewed with license today. LPA reminded licensees that an assistant must be present when operating as a large license. LPA reminded licensees when an assistant is not present, licensees must operate within capacity limits of a small family childcare home. Licensees were reminded if children live in the home under 10 years old, they are counted towards overall capacity.

Cont. page 2...
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
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
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: BARBIN, GABRIELA A.
FACILITY NUMBER: 414005152
VISIT DATE: 11/08/2024
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
26
27
28
29
30
31
32
Page 2…

The licensee has not obtained a signed Property Owner/Landlord Consent form (LIC9149). Without this consent, the applicant understands that, once licensed, they can operate with a maximum capacity of 6 [or 12] children. If property owner/landlord consent is obtained in the future, the applicant is advised that a new Application for a Family Child Care Home License (LIC 279) must be submitted with a change of capacity fee of $25, to increase the capacity and provide care to 8 [or 14] children.

LPA will approve license for a capacity of 12 children, as of today’s date, 11/08/2024.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Gabriela Barbin. LPA translated report in Spanish.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
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)
Page: 2 of 2