Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001992
Report Date: 11/04/2016
Date Signed: 11/04/2016 02:03:39 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LABBE, CHRISTINEFACILITY NUMBER:
384001992
ADMINISTRATOR:LABBE, CHRISTINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 648-1824
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:14CENSUS: 8DATE:
11/04/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Licensee, Christine LabbeTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA), Ofelia Avila, met with Licensee, Chistine Labbe for an Annual/Random visit (#3). Purpose of the visit was explained to Licensee. Present was Licensee and one helper caring for 8 children (1 infant, 7 preschoolers). Licensee owns home, and lives at this property with partner and minor child. Hours of Operation are Monday - Friday 8:30 am - 4:00 pm. and closed during the month of July. Facility was toured for health and safety inspection. The Daycare areas are: Living Room/Dining Room combo and bathroom. Off Limit areas are: Kitchen and Bedrooms. LPA observed the following: home is clean, orderly and equipped with age appropriate toys and equipment for the children. Home has a working telephone, a working smoke, carbon monoxide detector, and a fire extinguisher that meet the minimum requirements. There are no bodies of water and no fireplace in the daycare area. There are no poisons, detergents, cleaning products accessible to daycare children. Licensee states that there are no firearms or weapons in the home. Licensee's CPR expires in 05/2017. Children's roster was reviewed and is complete. Last fire drill was done in 11/01/16 and is properly documented. Licensee provides snacks and meals. Discipline policy is communication and at times "time outs" that does not exceed the minute per age of the child, not to exceed five minutes. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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)/ (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

>No deficiencies cited today under Title 22 Division 12 of the Ca. Code of Regulations.

Report was reviewed and provided to Licensee. This report must be available in the facility for public review. Notice of site visit was observed being posted.
Licensee was advised if she has any additional questions to call Office, 650-266-8800 from 8am-5pm. Website: www.ccld.ca.gov.
SUPERVISOR'S NAME: Suzanne Roman-ClarkTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Ofelia AvilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2016
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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