414005251-10-15-2025-05-CC-MZAA-DMGUSZ-20251015155109

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414005251
Report Date: 10/15/2025
Date Signed: 10/15/2025 03:51:24 PM

Document Has Been Signed on 10/15/2025 03:51 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:	TRAN, LINH		FACILITY NUMBER:	414005251
ADMINISTRATOR/ DIRECTOR:	TRAN, LINH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 421-5509
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94062
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	10/15/2025
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:30 PM
MET WITH:	Applicant, Linh Tran		TIME 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 October 25, 2025 at approximately 9:30am, Licensing Program Analysts (LPAs) Melissa Zaragoza and Maria Olguin Leon conducted a scheduled, pre-licensing inspection. LPAs met with applicant, Linh Tran, and explained the purpose of the inspection. Present during LPA's visit included applicant, and 2 male adults. Applicant submitted an application for a family child care home 08/29/2025 for a change of location. Applicant relocated to current address. Applicant lives in a two-level home with their adult son, adult daughter, adult daughters partner, and 1 minor child. Applicant plans to operate Monday through Friday 8:00am to 5:30pm. Applicant plans to care for children ages 0 months to school age (8 years old). With applicant, LPAs inspected the entire home, inside and outside, for health and safety hazards. The home is a two-level home that consists of 7 bedrooms, 5 bathrooms, living room, dining room, kitchen, balcony deck, backyard, front yard, laundry room, and garage. The DAY CARE AREAS located on the first level of the home: bedroom#4, bedroom #5, bedroom #6, bedroom #7, bathroom #4, bathroom #5, living room, dining room, and backyard. The OFF LIMIT AREAS are the entire second level of the home: stairs, bedroom #1, bathroom #1, master bedroom #2, master bathroom #2, bedroom #3, bathroom #3, laundry room, balcony deck, garage, and front yard. Off limit areas are made inaccessible with child safety door handles and installed child safety gates. LPAs observed the day care area to be clean and safe. Home is equipped with a fully charged fire extinguisher that was observed to be secured to the wall located near the kitchen. Home is equipped with multiple smoke and carbon monoxide detectors. During the visit, LPAs tested smoke and carbon monoxide detectors that was observed to be working. LPA observed a fully stocked First Aid Kid. Day care areas were observed to be equipped with a variety of toys, materials and furniture that were age appropriate. There is a fireplace in the living room that is properly barricaded and made inaccessible. Cabinet corners were observed to have corner covers. LPAs observed electrical outlets to be made inaccessible with safety covers. LPAs observed door handles to have child proof door handles locks. (Continue Report on Page 2...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Melissa Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025

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: TRAN, LINH	FACILITY NUMBER: 414005251
	VISIT DATE: 10/15/2025

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The kitchen is off limit and knives, and sharp objects are made inaccessible with installed child safety gate. Bathrooms were observed to be in proper working conditions. LPAs observed drawers and cabinets in the bathroom to be empty. The bathroom is equipped with age-appropriate toileting equipment and sanitation products. LPAs observed 1 changing table. Per applicant, parents will provide diapers and wipes for enrolled children.

The backyard area is entirely enclosed and fenced. LPAs observed the outdoor area to have cement and sand flooring. LPAs observed a small play structure in the backyard. LPAs observed the backyard to have a variety of toys and equipment that were age appropriate. LPAs did not observe any pools, spas or bodies of water on site.

The applicant was reminded baby walkers, bouncers, jumpers and any other similar items are not to be used for children in care. LPAs reminded applicant emergency disaster drills are to be conducted and documented at least once every six months. Per applicant, they plan to provide sheets for napping, and parents will provide the blankets. Per applicant sheets and blankets will be washed weekly.

Applicants’ discipline policy will be redirection and communicating with children. The designated isolation area will be in the living room, separate from other children in care. LPAs reminded applicant; children must be supervised at all times. The applicant plans to provide a food service that includes breakfast, lunch and snacks. Food preparation, sanitization, children's allergies were discussed.

Applicant's CPR/First Aid training is current and will expires 01/2027. Applicant's Mandated Reporter training certification is also current and will expire 06/2026. LPAs reminded applicants CPR/First Aid training and Mandated Reporter training must be renewed every two years. Applicants was also reminded Mandated Reporter training must be renewed every two years by all staff working with children. Applicant has proof of required immunizations (MMR, Tdap and Flu) that were provided to LPAs. Per applicant, there are no weapons or firearms in the home.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Melissa Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025

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: TRAN, LINH	FACILITY NUMBER: 414005251
	VISIT DATE: 10/15/2025

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The applicant provided proof of control of property.

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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA reviewed with applicant the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance checklist was provided to the applicant.

LPA discussed the safe sleep regulations with applicant 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 applicant 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.

On this date, 06/11/2025, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

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

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Melissa Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025

LIC809 (FAS) - (06/04)

Page: 4 of 6

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: TRAN, LINH	FACILITY NUMBER: 414005251
	VISIT DATE: 10/15/2025

NARRATIVE

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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website athttps://www.cdss.ca.gov/inforesources/community-carelicensing/ subscribe and select the Child Care option to receive email communication.

Applicant was reminded, as previously discussed during office meeting on, 03/21/2025:
· Applicant is the main provider for the licensed home.
· Applicant’s substitute cannot be another licensed provider.
· If applicant (or substitute) is working alone in home, applicant (or substitute) must operate within capacity limits of a small, licensed family childcare home.
· Applicant can not be in the ADU and Licensee of the ADU cannot be in the main home during daycare operating hours and need to be in their own respective homes.
· Applicant understands meals/food will be available in home and applicant will not go to the ADU to retrieve meals/food.
· Applicant will have their own designated staff; no sharing of staff will be allowed with staff working in main home daycare. Except in an emergency.
· Applicant understands there will be separate entrances for each daycare. Applicant's daycare entrance will be the main door of the home .
· Applicant cannot engage in outside employment that may directly or indirectly infringe applicant's ability to be the primary caregiver in their family childcare home.
· Applicant is the only individual responsible and liable for everything that occurs in the home.
· Applicant understands children enrolled in home daycare shall not commingle with children enrolled in ADU.
· Applicant understands there shall be a rotation schedule between both daycares for outdoor shared space. Rotation schedule shall be submitted to licensing office.
· Applicant understands all enrolled children files must be kept in the home and not kept in the ADU.

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Melissa Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025

LIC809 (FAS) - (06/04)

Page: 5 of 6

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: TRAN, LINH	FACILITY NUMBER: 414005251
	VISIT DATE: 10/15/2025

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· Applicant understands all adults living or working in the home must be fingerprint cleared and associated to the home.
· Applicant must live in the home.
· Applicant must be present 80% of operating hours, per day.
· A complaint received in the department, that alleges applicant does not live in the home, while licensed, will be substantiated.
· Applicant must be aware of department's regulations.
· Applicant must have their own current, working phone number the department can reach during operating hours.

Applicant was reminded they must use their own facility number for advertisement purposes and advertising must be separated from other licensed advertisement.

Applicant was also reminded about capacity limits and ratios for a large family day care home. LPAs reminded applicant that an assistant must be present when operating as a large license. LPAs reminded applicant when an assistant is not present, licensee must operate within capacity limits of a small family child care home.

Applicant stated they understood and are aware of the importance to be in compliance with all licensing regulations.

Prior to recommended licensure, the following must be completed:
-Add a child lock on mirror in bedroom #5.
-Install child safety lock in cabinet in the living room.
-Add a trashcan with a tight fitted lid in bathrooms.
-Install outlet covers.
-Required Posting must be posted.
-Pending management review and approval.

Exit interview conducted and report was reviewed with the applicant, Linh Tran.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Melissa Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025

LIC809 (FAS) - (06/04)

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