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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005701
Report Date: 10/15/2024
Date Signed: 10/15/2024 04:23:25 PM

Document Has Been Signed on 10/15/2024 04:23 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:AGUILAR, GENISISFACILITY NUMBER:
214005701
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
10/15/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:09 PM
MET WITH:Genisis AguilarTIME VISIT/
INSPECTION COMPLETED:
04:35 PM
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On 10/15/2024, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced case management visit and met with the Licensee, Genisis Aguilar. The licensee requested a visit from the department because she applied for a large Family Child Care Home license.

Six children (three infants, one infant, and the two licensees' two children) and the licensee were present during the visit. The two licensees' children were ages three and seven. The licensee received criminal record clearance from the department. The licensee holds a small license and is within capacity limits and ratios for today’s visit.

The licensee has not obtained a signed Property Owner/Landlord Consent form (LIC9149). Without this consent, the applicant understands that, once licensed, they can operate with a maximum capacity of 6 [or 12] children. If property owner/landlord consent is obtained in the future, the applicant is advised that a new Application for a Family Child Care Home License (LIC 279) must be submitted with a change of capacity fee of $25, to increase the capacity and provide care to 8 [or 14] children.

LPA conducted inspections of the indoor and outdoor daycare areas to identify health and safety hazards. The indoor daycare areas were clean, orderly, and with age-appropriate toys, furniture, and educational materials. Adequate lighting and ventilation were present throughout the home.

The home has a fully stocked first aid kit, smoke and carbon monoxide detectors, and a fully charged fire extinguisher. LPA observed that electrical power outlets were covered with child-safety covers, and cleaning products were stored out of reach or secured with child-safety locks. The licensee confirmed that no firearms or weapons were present on the premises.

The backyard is enclosed by a fence and equipped with outdoor play equipment that is in good condition. The slide has grass under it to absorb falls. No pools, spas, or other bodies of water are on the premises.

See Page 2

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2024
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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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: AGUILAR, GENISIS
FACILITY NUMBER: 214005701
VISIT DATE: 10/15/2024
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LPA reminded the licensee of the capacity limits specified in the license, with a review of the limits for large and small family childcare homes. It was emphasized that when no assistant provider is present, the licensee must adhere to the capacity requirements for a Small Family Childcare Home, allowing for the care of up to eight children.

LPA reminded the licensee of their obligation to be physically present and ensure continuous supervision of all children in care. In the event of temporary absence, arrangements must be made for a substitute adult to supervise the children, with absences not exceeding 20% of the facility's operating hours per day.

LPA reminded the licensee that a licensee of a large family day care home shall ensure that at least one person who has a current certificate in pediatric first aid and pediatric cardiopulmonary resuscitation shall be available at all times when children are present at the facility, or when children are off-site of the facility for facility activities.

LPA will not recommend a large FCCH license for the licensee until the San Rafael Fire Department issues a fire clearance for the home, which is a requirement for a large FCCH.


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

Today’s report was reviewed with the Licensee, Genisis Aguilar.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024
LIC809 (FAS) - (06/04)
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