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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005493
Report Date: 06/14/2023
Date Signed: 06/14/2023 10:34:44 AM

Document Has Been Signed on 06/14/2023 10:34 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:CHAN-ROSADO, NELSY A.FACILITY NUMBER:
214005493
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 2DATE:
06/14/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nelsy Chan RosadoTIME COMPLETED:
10:45 AM
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On 6/14/2023, Licensing Program Analyst (LPA) Hanson Leong, made an announced case management visit to the Family Child Care Home listed above. The Licensee requested a departmental visit to increase capacity from eight (Small License) to fourteen children (Large License). The LPA was granted entry by the Licensee, Nelsy Chan Rosado. The LPA explained the purpose of the visit to the Licensee. All the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPA observed the Licensee supervising two preschool aged children. Children's capacity and ratio requirements were observed to be in compliance.

LPA and the Licensee both performed a health and safety inspection of the home. The home is clean and safe, with functioning smoke and carbon monoxide detectors as well as a fully charged fire extinguisher. The Licensee has a First Aid Kit at their disposal that is filled, in addition to a thermometer. The home does not have any bodies of water. The trash cans owned by the Licensee have lids that fit tightly and are covered. Toys and equipment that are age-appropriate for the children who are being cared for at the home are always made available to them. The LPA reminded the Licensee not to use baby walkers, bouncers, jumpers, or any other devices of a similar nature.

The Licensee was reminded that parental notification and landlord approval are required if the Licensee provides care for a thirteenth and fourteenth child who is of school age. Emergency Disaster Plan (LIC 610), Parent's Rights (LIC 995A), and License (once received) are required to be posted in an accessible location where parents can see them.

The LPA will not recommend a Large Family Child Care Home License for the Licensee until the following condition is met.
1. Fire Clearance from the Fire Department.

A copy of today’s report and the “Notice of Site Visit” were given to Nelsy Chan Rosado. An exit interview was conducted, and the report was reviewed with Nelsy Chan Rosado
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2023
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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