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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005312
Report Date: 02/05/2026
Date Signed: 02/05/2026 05:06:58 PM

Document Has Been Signed on 02/05/2026 05:06 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:TOCA MADRID, JESUS E.FACILITY NUMBER:
414005312
ADMINISTRATOR/
DIRECTOR:		JESUS E. TOCA MADRIDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 271-6181
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/05/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:51 AM
MET WITH:Applicant, Jesus Toca MadridTIME VISIT/
INSPECTION COMPLETED:
05:20 PM
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On February 5th, 2026, at approximately 9:00am, Licensing Program Analysts (LPA) Alvarado conducted a scheduled pre-licensing inspection. LPA met with applicant, Jesus Toca Madrid (A1), and explained the purpose of the visit. Present during today’s Inspection is (A1) and relative who resides in home. All adults who reside in the home have Criminal Record Clearances and are in the process of association of the fingerprints to the facility. Facility has a Dog that is in an off-limit part of the home and (A1) stated that Dog will not come into contact with Child Care Children.

Applicant submitted a family child care home application for a large license to the department on October 20th, 2025. (A1) is aware that if no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home. (A1) rents the home and submitted proof of Control of property to the department.

Facility’s main entrance is located on Camaritas Ave, as it has the designated main entrance to the Family Child Care Home. Located near, there is also a driveway that will become a designated drop-off and pick-up area for families. Entrance into the facility is through a brown wooded fence that is located near the main entrance of the facility. (A1) will plan to place a facility sign for easier view of the facility’s entrance.

(A1) plans to operate Monday through Friday 6:00AM to 6:00PM. Applicant also stated that Extended and weekend care may be provided upon further request. Applicant is aware that "Overnight Care" means care being provided to children anytime between the hours of 6 p.m. and 6 a.m. Care provided during the day and overnight combined shall not exceed 24 hours from the time the child entered into care. (A1) plans to care for children ranging from Infants up to School Age children. With applicant, LPA inspected the entire home, inside and outside, for health and safety hazards.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2026
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: TOCA MADRID, JESUS E.
FACILITY NUMBER: 414005312
VISIT DATE: 02/05/2026
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Home is a Two-Level Home that consists of 4 bedrooms, 3 Bathrooms, Dining Area, Kitchen Area, Two Living Rooms, A Back Yard spaced that is Broken off into 3 sections and Family Room (Main Day Care Area).

DAY CARE AREAS: Family Room (Main Day Care Area), Bathroom #1 (Located in Family Room), and Back Yard #3.

OFF LIMIT AREAS: Dining Room, Kitchen, Living Room 1, Living Room 2, Bedroom #1, Bedroom #2, Bedroom #3, Bedroom #4 (Located on the 2nd Floor), Entire 2nd Floor is off limits. Bathroom #2 and Bathroom #3 (Located on 2nd Floor). Also Front Yard.

LPA observed the Home and Main Day care areas to be clean and safe. Home is equipped with a fully charged 2A:10-B:C fire extinguisher along with a Pull Fire Alarm that was installed due to Large License Requirements. Facility obtained Fire clearance on 1/13/2026. Main Day Care area also has and fully stocked First Aid Kit. Home also has a Duo smoke detector and carbon monoxide detectors in the home that LPAs observed to be operating during today’s inspection. Facility has a Fireplace that is in an Off Limit portion of the home. Main Day care area of the home has stairs that was observed to be properly barricaded making them inaccessible. Home also is equipped with stairs that lead to the second floor that is located on an off-limit portion of the home.

Home has controlled Heating and Air system that runs through the home. (A1) has sufficient toys and learning materials that are age appropriate for children. Main Day care areas to be equipped with a variety of age-appropriate toys, materials and furniture that are in good working condition. LPA also observed cubbies in the entrance that will be utilized for children to store their own belongings. LPA observed electrical outlets in day care areas to be made inaccessible with child safety covers. Flooring in the main day care includes marble flooring that were observed to be clean and free of stains, Flooring in designated main Day care area has partial rug.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
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: TOCA MADRID, JESUS E.
FACILITY NUMBER: 414005312
VISIT DATE: 02/05/2026
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Bathroom # 1, which will be the main bathroom for child care use, was observed to have a functioning toilet, functioning sink, and as potty chair. Poisons, chemicals or other hazardous materials were observed by LPA to be made inaccessible with cabinet latch locks. LPA reminded (A1) Poisons, chemicals or other hazardous materials must always be made inaccessible to children in care. Garbage bin was observed to have a tight-fitting lid. (A1) plans to utilize napping mats and in the process of obtaining cribs/play yards for infants. (A1) stated that the facility will provide napping equipment for families and (A1) stated that families will provide their own sheets from home to send home at the end of week and return the following. Main Day Care Area also has a mini fridge that will be utilized for children’s belongings.

The outdoor area includes a large outdoor space, backyard is broken off into three sections the outdoor space for Family Child Care Home use is, section #3 that is enclosed area within the brown fence that also has partial fake grass and bricks. (A1) covered the corner edge on the main entrance step of the family child care home. Backyard was observed to be fully fenced and enclosed with a high fence that is at least four feet tall. (A1) was reminded that any off-limit areas of the home may not be utilized until the department has approved it. LPA did not observe any pools, spas or bodies of water on site, (A1) also confirmed no bodies of water or similar bodies of water present in the facility.

(A1) was reminded baby walkers, bouncers, jumpers, and any other similar items are not to be used for children in care. The designated isolation area for sick children will be on the couch in the main day care area, separate from other children in care. LPA reminded applicant; children must be always supervised. (A1) plans to provide food service such as breakfast, lunch and snack. Which would include protein, carbs, and fiber. (A1) also stated that if families want to bring their own food from home that it would be allowed. If (A1) has infants who are still on formula or breast milk, Applicant will have parents provide formula and milk as needed.

LPA reminded applicant emergency disaster drills are to be conducted and documented at least once every six months. Applicants’ CPR/First Aid training is current and will expire 07/2027. Applicant's Mandated Reporter training certification is also current and will expire 08/2027. LPA reminded applicant CPR/First Aid training and Mandated Reporter training must be renewed every two years. Applicant was also reminded Mandated Reporter training must be renewed every two years by all staff working with children.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
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: TOCA MADRID, JESUS E.
FACILITY NUMBER: 414005312
VISIT DATE: 02/05/2026
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Applicant has proof of required immunizations that were provided to department for review. (A1) confirmed that there are no weapons or firearms in the home. Family Child Care Home Entrance checklist (LIC126) was provided to (A1) for requirements.

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.

The applicant provided proof of control of property. APPLICANT RENTS/LEASES THE HOME AND HAS LANDLORD CONSENT: Because the applicant rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC 9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC809 (FAS) - (06/04)
Page: 5 of 7
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: TOCA MADRID, JESUS E.
FACILITY NUMBER: 414005312
VISIT DATE: 02/05/2026
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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. Review of records to be maintained- CCC LPA reviewed with [applicant, licensee, or facility representative] the LIC 311A, Records to be Maintained at the Facility, for child’s records, personnel records, administrative records, and documents to be posted. Entrance Checklist was provided for the applicant.

LPA reviewed with applicant the LIC 311D, Forms/Records to Keep in your Family Child Care Home, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided for 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, licensee, or facility representative] of the importance of checking for and removing 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, 2/05/2025, 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 address. 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.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC809 (FAS) - (06/04)
Page: 6 of 7
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: TOCA MADRID, JESUS E.
FACILITY NUMBER: 414005312
VISIT DATE: 02/05/2026
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Applicant was informed of the MyChildCarePlan.org site, 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.

Exit interview conducted and report was reviewed with the applicant. Jesus Toca Madrid

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.

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.

LPA received during todays inspection Immunization's copy of family dog and updated LIC 610A.

Prior to Facility Licensure, following requirements must be completed:
-Licensing Board Needs to be Posted with required documentation
-Proof of Infant Napping Equipment
-Fingerprint Transfer Request (LIC 9182) to be completed by all residents
-Written Statement Regarding Family Child Care Homes
NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC809 (FAS) - (06/04)
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