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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005427
Report Date: 02/04/2025
Date Signed: 02/04/2025 11:26:34 AM

Document Has Been Signed on 02/04/2025 11:26 AM - 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:CRUZ, LEILA M.FACILITY NUMBER:
214005427
ADMINISTRATOR/
DIRECTOR:		CRUZ, LEILA M.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 879-7188
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 10DATE:
02/04/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Licensee, Leila CruzTIME VISIT/
INSPECTION COMPLETED:
11:40 AM
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On 2/4/2025, at approximately 9:30AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Licensee, Leila Cruz, and explained the purpose of the visit. Present during the visit was Licensee, two helpers, four infants, and six preschool age children. The facility is operating within staffing and ratio requirements on this day. The facility’s operating hours are from 8:00AM to 5:30PM, Monday to Friday.

Daycare Areas: Family Room, Bedroom 2, Bedroom 3, Bathroom, Front Yard, and Backyard.
Off-limits Areas: Bedroom 1, Kitchen (used for pass-through only), and Side Yard.

LPA and Licensee inspected the home for any health or safety hazards. There is a fully charged 3A40BC fire extinguisher present. There is a fire alarm system running throughout the home. Smoke detectors are present. There is a carbon monoxide detector in the Family Room. The fireplace located in the Family Room has been blocked to be inaccessible. Electrical outlets are covered or blocked by furniture when not in use. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. Off-limits areas are kept inaccessible with childproof gates.

LPA observed there to be age-appropriate toys and learning materials present. Furniture was observed to be age-appropriate and free of rough or sharp edges. LPA observed there to be cribs and nap mats available for children in care. Each infant has access to their own individual crib to nap in. Cribs were observed to be kept free of loose articles and materials while infants are napping in them. Bedding is washed at the facility once a week or as needed. Per Licensee, the facility provides breakfast, lunch, and an afternoon snack for children in care. Children bring water bottles from home that are refilled as needed.


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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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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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: CRUZ, LEILA M.
FACILITY NUMBER: 214005427
VISIT DATE: 02/04/2025
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The Front Yard and Backyard were observed to contain age-appropriate toys and equipment. Equipment was observed to be in good repair. There is artificial turf in both yards. The Backyard is covered and available for use in case of rain. Both yards are enclosed by fences that are at least four feet high. There are no swimming pools or other similar bodies of water present in the facility. Per Licensee, there are no firearms or weapons in the home.

LPA reviewed three staff files, ten children’s files, and facility records. Licensee’s Pediatric First Aid/CPR is current and expires 8/2025. Licensee’s Mandated Reporter Training is current and expires 2/2026. All adults living or working in the home have acquired fingerprint clearance and are associated to the facility. Immunization records and tuberculosis clearances are available for review. All children’s files were observed to be complete. Infant sleeping logs were reviewed and confirmed to be maintained and current for all infants in care. All required postings were observed to be posted and accessible for review immediately upon entry to the facility. LPA advised that emergency drills are to be conducted and logged at least once every six months. Licensee stated that they understood. LPA provided Licensee with a sample drill log during the visit.

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.

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.




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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
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: CRUZ, LEILA M.
FACILITY NUMBER: 214005427
VISIT DATE: 02/04/2025
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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 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.

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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the
ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee 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.

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

No deficiencies were cited during today’s visit on 2/4/2025. See LIC9102-TA for technical assistance provided today regarding emergency drill logs. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Leila Cruz.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC809 (FAS) - (06/04)
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