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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005655
Report Date: 07/27/2023
Date Signed: 07/27/2023 03:31:46 PM

Document Has Been Signed on 07/27/2023 03:31 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:FREEMAN-NOYOLA, JENNIFERFACILITY NUMBER:
214005655
ADMINISTRATOR:FREEMAN-NOYOLA, JENNIFERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 927-7447
CITY:CORTE MADERASTATE: CAZIP CODE:
94925
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
07/27/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Jennifer Freeman-NoyolaTIME COMPLETED:
03:45 PM
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On July 27, 2023, at 2:00PM, Licensing Program Analyst (LPA) Nathan Garcia met with the Licensee, Jennifer Freeman-Noyola for an announced Pre-Licensing relocation inspection. The Licensee has relocated from Facility #214005478 to this location. The purpose of the inspection was explained, and the Licensee granted LPA entry to the home. This is a single-family home. The Licensee currently has a large license capacity. There were no children present at this location. The children are still at the old license with a qualified employee and 7 children during nap time. Operation hours are Monday – Friday from 7:00 – 5:30 pm.

Childcare areas: are the living room, bedroom #1, a full bath and backyard/side yard.
Off-limit areas: are bedroom #2 and #3, master bedroom bathroom, front yard, dining room, garage and kitchen.

Licensee and LPA inspected the home for health and safety Hazards. The home has age-appropriate toys and equipment available for children in care. The home has a working smoke and carbon monoxide detector, a working telephone, and a fully charged 3A40BC fire extinguisher. First Aid Kit is fully stocked and accessible. There are no pools, spas, or bodies of water on the property. All cleaning supplies, poisons, and other chemicals are inaccessible to children and stored in the closet. All harmful and sharp objects are made inaccessible to children in care. The Licensee stated there are no guns, weapons, or pets in the home.

LPA reminded the Licensee to conduct an emergency drill once a month, and log drills are required. The licensees' First Aid/CPR certificate is valid until 5/2025. The Licensee plans to use the front door will be the posting area. The Licensee is reminded of NO walkers, jumpers, bouncers, or any similar items to be used for children in care and shall be made inaccessible. In addition, smoking is prohibited at the day-care. Central Marin Fire Department granted fire clearance on 7/25/23.

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SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: FREEMAN-NOYOLA, JENNIFER
FACILITY NUMBER: 214005655
VISIT DATE: 07/27/2023
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The 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, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant, and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant 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: http://www.ada.gov/childqanda.htm

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 platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Licensee 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.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: FREEMAN-NOYOLA, JENNIFER
FACILITY NUMBER: 214005655
VISIT DATE: 07/27/2023
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***Page 3 Continued***

Control of Property and was on file.
Because the licensee rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

Licensee will have the plant boxes against the fence to prevent the children from getting close to it.
There will also be smoke and carbon monoxide alarms in the bedroom. Licensee will be using the living room area for nap time until the bedroom is ready to be utilized. The day care area is properly barricaded to prevent children from entering off limits area. Licensee will send photos of changes in the day care areas.

A notice of site visit was given to licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Licensee will receive the updated license through mail.

Exit interview was conducted and report was reviewed with the Licensee, Jennifer Freeman-Loyola.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
LIC809 (FAS) - (06/04)
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