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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005217
Report Date: 05/01/2026
Date Signed: 05/01/2026 03:16:23 PM

Document Has Been Signed on 05/01/2026 03:16 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:REZENDE, NATHANY CRISFACILITY NUMBER:
414005217
ADMINISTRATOR/
DIRECTOR:		REZENDE, NATHANY CRISFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 686-0026
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 11DATE:
05/01/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:25 PM
MET WITH:Nathany RezendeTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On May 1, 2026, at approximately 1:25 pm, Licensing Program Analyst (LPA) Maria Olguin-Leon met with licensee, Nathany Cris Rezende to conduct an unannounced annual inspection. The purpose of the inspection visit was explained to Licensee. Present during today’s visit was licensee, licensee’s spouse and an assistant caring for 11 children (4 infants and 7 preschoolers). All adults present today have criminal background clearances and are associated with facility. Licensee is in compliance with ratio capacity requirements. Daycare hours of operation are Monday – Friday from 7:30 am to 5:00 pm.

LPA observed Childcare License, Emergency Disaster Plan (LIC610A), Parent's rights and Earthquake Preparedness Checklist posted and is easily visible to parents. Last emergency drill was conducted on February 2, 2026, and is properly documented with date.

LPA observed an electronic fire alarm in living room. A fully charged fire extinguisher was observed on wall of living room and is easily accessible. Licensee keeps a fully stocked first aid kit. Smoke detector and carbon monoxide detectors were tested during today’s visit and observed to be in working condition. Licensee maintains a cell phone service on the premises. Per Licensee, there are no weapons or firearms in the home.
LPA inspected the indoors and outdoors of home for health and safety hazards. LPA observed home to be free of defects or conditions that might endanger a child. Home is a one-story dwelling, with 3 bedrooms and 2 bathrooms. Daycare areas are: Entrance foyer, Living room (main daycare room), bedroom #1(napping room), bathroom #1 and backyard. Off-limit areas are: Family room, kitchen, dining room, bedroom #2 & #3, bathroom #2 and garage. Isolation area: Sick children will be isolated in entrance foyer and away from other children. The home has proper heating, lighting and ventilation to provide safety and comfort. LPA observed age-appropriate toys, a blocked off area for infants, learning materials and books, all in good condition. LPA observed cubbies for children to store their personal belongings.

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: REZENDE, NATHANY CRIS
FACILITY NUMBER: 414005217
VISIT DATE: 05/01/2026
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Fireplace in living room is barricaded with a bookcase and made inaccessible to children. LPA observed corner protectors on furniture. LPA observed several childproof gates throughout home to keep children out of off-limits areas. Electrical outlets are secured with childproof covers and barricaded with furniture. LPA observed carpeting in the daycare area to absorb and cushion falls.

Bathroom was clean and cabinet was secured with a childproof latch. LPA observed a stepping stool for children to use sink. There was a step-up toilet seat and potty-training chairs available for potty-training purposes. Cleaning supplies and other potentially harmful items are stored inaccessible to children and behind child proof cabinets.

Bedroom #1 is equipped with sleeping cots for older children napping purposes. Licensee uses playpens for napping infants. Playpen mattress was firm and covered with a tight-fitting sheet, sleeping cots appeared to be in good condition and covered with tight fitting sheets. Playpen was free of loose articles, objects and blankets. Licensee provides sheets for playpens and cots and sheets are washed on a weekly basis or as needed. LPA reviewed 15-minute sleep logs for all enrolled infants, sleep logs are maintained and up to date.

Backyard is completely enclosed and surrounded by a 5 ft wood fence. Off limits areas of backyard are barricaded with childproof gates. LPA observed a swing set, climbing slide structure, tunnel and other age-appropriate outdoor toys, all in good condition. Flooring in backyard is artificial grass to cushion falls. LPA did not observe any pool, spas, or other bodies of water

Licensee provides meals for children in care, which includes breakfast, lunch and am/pm snacks. LPA reminded licensee that any food brought from home must be labeled and stored properly. LPA observed low highchairs and chairs and child size table and chairs for child to sit and eat. LPA observed kitchen to be clean, and food properly stored to avoid contamination or spoilage. LPA observed children's water bottles labeled with children's names, water bottles are refilled using a water filter system.

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
LIC809 (FAS) - (06/04)
Page: 3 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: REZENDE, NATHANY CRIS
FACILITY NUMBER: 414005217
VISIT DATE: 05/01/2026
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LPA reviewed 7 children’s files and 2 assistant’s files; all files were complete. Children’s files included PM286 used for updating vaccine record. LPA reviewed children’s roster, which is maintained up to date. Licensee’s CPR/FA expiration date is 2/2028 and licensee’s Mandated reporter expires 01/2028.

Licensee Nathany Cris Rezende 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.

LPA discussed the safe sleep regulations with licensee Nathany Cris Rezende and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee Nathany Cris Rezende of the importance of checking for and removing any 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. LPA discussed the ban of sleep sacks in a family childcare home.

As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. LPA reminded licensee about Mandated Reporter training available www.mandatedreporterca.com

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
LIC809 (FAS) - (06/04)
Page: 5 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: REZENDE, NATHANY CRIS
FACILITY NUMBER: 414005217
VISIT DATE: 05/01/2026
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Licensee Nathany Cris Rezende 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.

Licensee was reminded about the Provider Information Notices (PINs) on the CCLD website. Licensee was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. LPA reviewed AB 1207 with the Licensee.

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

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.

No deficiencies were cited during today’s visit, under CCR, Title 22, Division 12.

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

Exit interview conducted and report was reviewed with the licensee, Nathany Cris Rezende.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Maria Olguin-Leon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026
LIC809 (FAS) - (06/04)
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