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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005660
Report Date: 11/01/2024
Date Signed: 11/01/2024 10:30:04 AM

Document Has Been Signed on 11/01/2024 10:30 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:REYES VASQUEZ, ELMA E.FACILITY NUMBER:
214005660
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 5CENSUS: 3DATE:
11/01/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:33 AM
MET WITH:Elma Reyes VasquezTIME VISIT/
INSPECTION COMPLETED:
10:40 AM
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On 11/1/2024, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced Plan of Correction (POC) visit and met with the Licensee, Elma Reyes Vasquez. The visit was to follow up on a Type-A citation that was cited on 10/18/2024. LPA explained the purpose of the visit to the licensee.

On 10/18/2024, LPA Leong cited the licensee for operating beyond their capacity in August and September 2024.

LPA observed two infants and one pre-k child, along with the licensee, during today’s visit. The licensee holds a small license and is within capacity limits and ratios for today’s visit.

LPA observed that the required documents, Type A citation and Notice of Site Visit, were posted and visible to the public.

LPA reviewed LIC 9224, which informs the parents of a Type A violation for the enrolled children, and found that it was completed with parent signatures.

The Type A deficiency that was cited on 10/18/2024 will be cleared during today’s visit.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Elma Reyes Vasquez.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2024
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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