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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005278
Report Date: 05/15/2026
Date Signed: 05/15/2026 02:50:55 PM

Document Has Been Signed on 05/15/2026 02:50 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:ALTANKHUYAG, ARIUNBILEGFACILITY NUMBER:
414005278
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
05/15/2026
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Ariunbileg AltankhuyagTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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On May 15, 2026 at approximately 9:45AM, Licensing Program Analyst (LPA) Katie Krenn conducted an unannounced case management visit initiated by the licensee. LPA met with the licensee, Ariunbileg Altankhuyag and explained the purpose of the visit. Licensee was caring for five infants and one preschool child. In addition to the licensee there was one adult helper. The licensee has a small license and is not operating within the capacity limits and ratios for this visit.

LPA reviewed the ratios for a small license and a large capacity. Licensee understand that with a small license, they may only care for up to four infants with no other children or they may have up to three infants and three preschoolers in care. Licensee plans for two infants to be cared for until they reach age two or the licensee has room for more infants in care.

Licensee's adult son who turned 18 this year was present in the home during the visit caring for only his younger sister, in an area off-limits to daycare children has not yet been fingerprinted. Licensee understand that he must be fingerprinted immediately.

Currently, the licensee's operating hours are from 7:30AM to 5:30PM, Monday to Friday.


Licensee is aware that all adults living or working in the home must have fingerprint clearance.

Licensee rents the home.
Daycare Areas: Family Room, Office, Backyard on West side of the home, and Bathroom #1.
Off-Limits Areas: Kitchen, Living Room, Dining Area, Bedrooms 1-3, Bathroom # 2, Backyard on East side of the home, Front Yard, Driveway, and Garage.
Licensee confirmed that there are no swimming pools, spas, or other similar bodies of water present.
LPA verified that licensee’s phone number and email address were current during the visit.
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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2026
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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Document Has Been Signed on 05/15/2026 02:50 PM - It Cannot Be Edited


Created By: Katie Krenn On 05/15/2026 at 10:30 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ALTANKHUYAG, ARIUNBILEG
FACILITY NUMBER: 414005278

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/16/2026
Section Cited
CCR
102425(f)

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102425(f) An infant shall not be swaddled while in care.

This requirement is not met as evidenced by:
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Licensee will not swaddle children while they are in care. If infants require the use of a sleep sack, licensee will get a doctor's note and request an exception from licensing.
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Based on observation, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.
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Licensee will not swaddle infants unless licensee has recieved an exception from licensing.
Type A
05/16/2026
Section Cited
CCR102370(d)(1)

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(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:
(1) Obtain a California clearance or a criminal record exemption as required by the Department.
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Licensee will ensure that all adults living or working in the home will have fingerprint clearance and be associated with the facility. Including licensee's adult children.
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This requirement is not met as evidenced by:

Based on interview, the licensee did not comply with the section cited above by not requiring their son to get fingerprinted promptly after their 18th birthday.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Daniel J Oquendo
NAME OF LICENSING PROGRAM MANAGER:
Katie Krenn
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/15/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/15/2026 02:50 PM - It Cannot Be Edited


Created By: Katie Krenn On 05/15/2026 at 10:43 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ALTANKHUYAG, ARIUNBILEG
FACILITY NUMBER: 414005278

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/16/2026
Section Cited
CCR
102425(j)(5)

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The provider shall supervise infants while they are sleeping and adhere to the following requirements: If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times.
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Licensee will keep the nap room door open while children are in the nap room.
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This requirement is not met as evidenced by:

Based on observation, the licensee did not comply with the section cited above in closing the nap room door, which poses/posed a potential health, safety or personal rights risk to persons in care.
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Type B
05/18/2026
Section Cited
CCR102417(g)(8)(A)

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(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841...Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.
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Licensee will update the roster to include all children currently in care, the birthday and other essential information must also be listed on the roster.
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This requirement is not met as evidenced by:
Based on observation, the licensee did not comply with the section cited above in keeping the roster up to date.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Daniel J Oquendo
NAME OF LICENSING PROGRAM MANAGER:
Katie Krenn
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/15/2026


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: ALTANKHUYAG, ARIUNBILEG
FACILITY NUMBER: 414005278
VISIT DATE: 05/15/2026
NARRATIVE
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LPA and licensee inspected the home for any health or safety hazards. LPA observed all necessary postings such as the Notification of Parent's Rights Poster (PUB 394), the Earthquake Preparedness Check List (LIC9148), and the Facility License were posted in the daycare area. LPA stated that licensee must post their new license, not the previous license.

LPA observed there to be a fully charged fire 3A40BC fire extinguisher. LPA observed a smoke detector alarm and a separate carbon monoxide alarm. LPA did not test them, because there was not a suitable time that would not disturb the infants. Per Licensee, they have not conducted an emergency drill yet. LPA explained that they must be conducted at least once ever six months. LPA advised to do both an earthquake drill and a fire drill. LPA advised licensee to have a plan for evacuating in different situations such as nap time when infants are in cribs or meal time when they are in booster seats.

LPA observed that electrical outlets were made inaccessible with child safety covers and the heater was made inaccessible with furniture.

LPA reviewed licensee’s records and found that their Mandated Reporter Training (MRT) and Pediatric First Aid/CPR training are current. Licensee used an EMSA approved training program. LPA reminded licensee that both the MRT and First Aid/CPR need to be renewed every two years and that current copies need to be available for review. licensee stated that they understood. LPA explained that all helpers over the age of 18 in addition to being finger printed must complete MRT every two years.

LPA reviewed the files of five children and found that all the necessary documentation was complete and in order. LPA observed form LIC 9227 for all children under the age of one in their files. Per licensee, they have not started keeping the 15-minute sleep records for the children under the age of two. LPA gave licensee an infant sleep chart and went over how to fill it up. Licensee stated that she understood and would begin using sleep charts immediately.

LPA observed two infants that were swaddled with blankets. LPA stated that infants may not be swaddled while in care. Licensee stated that at home the infants sleep in sleep sacks and the infants do not sleep without being swaddled. LPA stated that with a note from the infant's doctor, licensee may request an exception for that individual infant. Licensee stated that they would communicate that with the parents.
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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026
LIC809 (FAS) - (06/04)
Page: 5 of 8
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: ALTANKHUYAG, ARIUNBILEG
FACILITY NUMBER: 414005278
VISIT DATE: 05/15/2026
NARRATIVE
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Licensee 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 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 licensee 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.

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 at https://www.cdss.ca.gov/inforesources/communitycare-licensing/subscribe and select the Child Care option to receive email communication.

To improve the quality and value of the 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.

continued on page 4
NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026
LIC809 (FAS) - (06/04)
Page: 7 of 8
Document Has Been Signed on 05/15/2026 02:50 PM - It Cannot Be Edited


Created By: Katie Krenn On 05/15/2026 at 12:23 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ALTANKHUYAG, ARIUNBILEG
FACILITY NUMBER: 414005278

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/22/2026
Section Cited
CCR
102417(g)(9)

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(A)Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home.
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Licensee will conduct an emergency disaster drill in the next week and will document it on the emergency disaster drill log that LPA gave Licensee.
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This requirement is not met as evidenced by:

Based on observation, the licensee did not comply with the section cited above in conducting disaster drills at least once every six months.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Daniel J Oquendo
NAME OF LICENSING PROGRAM MANAGER:
Katie Krenn
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/15/2026


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: ALTANKHUYAG, ARIUNBILEG
FACILITY NUMBER: 414005278
VISIT DATE: 05/15/2026
NARRATIVE
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Type A Citation and Posting Requirement
LPA Krenn informed licensee, Ariunbileg Altankhuyag that this report dated May 15, 2026 documents two Type A citations which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Krenn informed the licensee, Ariunbileg Altankhuyag to provide a copy of this licensing report dated May 15, 2026 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/
guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Two type A and three type B Citations were issued today.

Due to technical difficulties LPA was unable to print a copy of the report and notice of site visit, LPA will email both the notice of site visit and a copy of the report to the email address on file for licensee today. LPA will mail a hard copy of the report to licensee on LPA's next office day.

Exit interview conducted, report and appeal rights were reviewed with the licensee, Ariunbileg Altankhuyag.
NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026
LIC809 (FAS) - (06/04)
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