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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005639
Report Date: 12/09/2024
Date Signed: 12/09/2024 04:49:00 PM

Document Has Been Signed on 12/09/2024 04:49 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:DE OLIVEIRA, CAMILA R.FACILITY NUMBER:
214005639
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
12/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:15 PM
MET WITH:Licensee, Camila de OliveiraTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 12/9/2024, at approximately 4:15PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced case management visit at the facility. LPA met with Licensee, Camila de Oliveira and explained the purpose of the visit. Present during the visit was Licensee. No children were in care on this day.

Licensee submitted an application for an increase in capacity. Fire clearance was granted on 12/5/2024.

LPA and Licensee inspected the home for any health or safety hazards. There is a fully charged 2A10BC fire extinguisher present in the home. Licensee demonstrated a carbon monoxide detector to be operational during the visit. 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 discussed capacity and ratio requirements for a large Family Child Care Home (FCCH) with Licensee during the visit. Licensee is aware that if a helper is not present, they must comply with the capacity and ratio requirements of a small FCCH.

LPA to recommend approval of a large license effective 12/9/2024.

No deficiencies were cited during today's visit on 12/9/2024. A notice of site visit was provided and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee, Camila de Oliveira.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2024
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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