214005722-2-13-2026-05-CC-JNAS-DQZRRV-20260205121546

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 214005722
Report Date: 02/05/2026
Date Signed: 02/13/2026 01:12:21 PM

Document Has Been Signed on 02/13/2026 01:12 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:	BATRES ORTEGA, KATHIA		FACILITY NUMBER:	214005722
ADMINISTRATOR/ DIRECTOR:	BATRES ORTEGA, KATHIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 855-5493
CITY:	SAN RAFAEL	STATE: CA	ZIP CODE:	94901
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	02/05/2026
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Kathia Batres Ortega		TIME VISIT/ INSPECTION COMPLETED:	12:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On February 5, at approximately 9:00am, Licensing Program Analysts (LPAs) Naves and Van conducted a scheduled, pre-licensing relocation and increase capacity visit. LPAs met with applicant Kathia Batres Ortega and explained the purpose of the visit. Applicant is currently licensed for facility 214005722 with a capacity of 8 children. Applicant submitted a relocation application and capacity increase application to department December 15, 2025, and January 15,2026. Fire clearance has been obtained as of February 3,2026. Applicant lives in the home with her aunt. Applicant and her aunt both have fingerprint clearance on file. Applicant plans to operate Monday through Saturday 6:00am to 7:00pm. Applicant plans to care for children ages 5 months to 12 years old, depending on the needs of the family. LPAs inspected entire home for health and safety hazards. The home is a multi-level duplex with separate addresses. The applicant is only rent the lower level of the home. Home includes a living room, dining room, 3 bedrooms, kitchen, two bathrooms, laundry room and front yard. The DAY CARE AREAS are bedroom #1, the living room, dining room, kitchen, bathroom#1, and front yard. The OFF LIMIT AREAS are the kitchen, bedroom #2, bedroom #3, bathroom #1 and laundry room. Entrance to the home is on the front street level that has stairs leading to front yard then the home. LPAs informed the applicant that off limit areas are not to be used as a child care area without prior approval from the department. cont pg 2 >>>>

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jaclyn Naves
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/05/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BATRES ORTEGA, KATHIA	FACILITY NUMBER: 214005722
	VISIT DATE: 02/05/2026

NARRATIVE

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pg 2

LPAs observed the child care areas to be clean and safe. There are a variety of toys, materials and furniture that are new and in good condition. Flooring in the home is tile and includes rugs that were observed to be free of stains. Corners of cabinets and shelves were observed to have rounded corners for additional safety. LPAs observed windows in the home and reminded the applicant of a window stopper at least 4 inches is required. LPAs observed furniture to be secured. Cabinets in child care areas were observed to have child safety locks installed.

LPAs observed electrical outlets in child care areas to be made inaccessible with child safety covers. Home is equipped with a fully charged fire extinguisher, multiple first aid kits, and multiple smoke and carbon monoxide detectors. LPAs tested the carbon monoxide detector in family room, which was observed to be in working condition.

There is a diaper changing table in bedroom #1. LPAs recommended to the applicant to have garbage bins with tight fitting lids. Bathroom for children's use was observed to be in working condition. LPAs did not observe accessible poisons or cleaning solutions in bathroom.

LPAs observed poisons and cleaning solutions to be made inaccessible behind child safety locked cabinets and/or in home's high shelves, inaccessible to children. Knives in the kitchen are also made inaccessible behind a child safety gate and on a counter. LPAs did not observe any pools, spas or bodies of water on site.

LPAs observed a play pen that is free of loose articles and materials. According the applicant, she will provide all napping equipment for children.

cont pg 3 >>>>

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jaclyn Naves
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/03/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BATRES ORTEGA, KATHIA	FACILITY NUMBER: 214005722
	VISIT DATE: 02/05/2026

NARRATIVE

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pg 3

LPAs discussed the safe sleep regulations with co-applicants, and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/
safe-sleep, as an additional resource. LPAs also informed co-applicants 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.

Applicant was reminded the applicant that baby walkers, bouncers, jumpers and any other similar items are not to be used for children in care. The applicant stated they are aware emergency disaster drills are to be conducted and documented at least once every six months.

Discipline policy was discussed. The applicant plans to communicate with children to explain and redirect behavior. The designated isolation area for sick children will be in the living room, separate from other children in care.

Applicant will be providing a food service that includes snacks and two meals. Food preparation, sanitization and children's allergies were discussed. LPAs reminded applicant children who bring their own food to facility must be labeled with the child's individual names.

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) or (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.

cont pg 4 >>>>

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jaclyn Naves
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/05/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BATRES ORTEGA, KATHIA	FACILITY NUMBER: 214005722
	VISIT DATE: 02/05/2026

NARRATIVE

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pg 4

Applicants CPR/First Aid training and Mandated Reporter training certification are both current. LPAs reminded applicant Mandated Reporter training must be renewed every two years. Applicant has all required immunizations on file. LPAs observed licensing documents to be properly posted and available for review in the home. Per applicant, there are no weapons or firearms in the home.

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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

The applicant provided proof of control of property. Because the applicant rent/lease the home, proof of landlord notification is required. The LPAs 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).

Applicant states that she understands that she is the primary person responsible for operating and providing care and supervision to the children, regardless if the applicant hires helpers or assistants to work with them. Applicant understands that she may only be absent from the home no more than twenty percent of the operating hours. During the twenty percent absence applicant understands that she may designate another person to provide care and supervision to the children who is qualified with Mandated Reporter Training, Pediatric CPR and First Aid Training, has obtained criminal record clearances, child abuse index checks, a TB test with results, immunizations as required by law, and has a signed Criminal Record Statement and Acknowledgement to Report Suspected Child Abuse forms. LPAs reminded the applicant that she must operate with a small capacity, unless a qualified assistant is present.
cont pg 5

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jaclyn Naves
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/05/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

LIC809 (FAS) - (06/04)

Page: 5 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BATRES ORTEGA, KATHIA	FACILITY NUMBER: 214005722
	VISIT DATE: 02/05/2026

NARRATIVE

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pg 5
Capacity and ratio options were reviewed with the applicant today. Applicant understands that care cannot be provided for more than the capacity as stated on the license. Applicant has landlord permission to care for two additional children (5 years plus in age and one of the two children can count if they are enrolled in Kindergarten) and must also notify the parents if care is being provided to the two additional children. Applicant will require parent’s sign the affidavit for liability insurance or obtain adequate liability insurance

LPAs reviewed with applicant the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance checklist was provided to the applicant.

On this date, 1/20/2026, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicant 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.

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 platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website athttps://www.cdss.ca.gov/inforesources/community-carelicensing/ subscribe and select the Child Care option to receive email communication.
cont pg 6 >>>>

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jaclyn Naves
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/05/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

LIC809 (FAS) - (06/04)

Page: 6 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BATRES ORTEGA, KATHIA	FACILITY NUMBER: 214005722
	VISIT DATE: 02/05/2026

NARRATIVE

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pg 6

During visit, the applicant provided LPAs with the updated LIC 279B.

Prior to recommended licensure, the following needs to be addressed:
· Sandbox in front yard needs to have corners either rounded or rubber corner cushions need to be installed.
· Turf needs to be secured to avoid lifting
· Window stopper needs to be put in place
· Safety grip strips need to be placed on elevated floor from living room to dining room entrance
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Applicant will provide LPAs with photos of all corrections once they are made. Applicant mentioned she will get everything done by today 2/5/2026.

Exit interview conducted and report was reviewed with the applicants, Kathia Batres-Ortega.

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jaclyn Naves
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/05/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

LIC809 (FAS) - (06/04)

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