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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004370
Report Date: 06/20/2024
Date Signed: 06/20/2024 04:09:17 PM

Document Has Been Signed on 06/20/2024 04:09 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:CANALES, ILIANA & ROMERO, JANNIAFACILITY NUMBER:
384004370
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
06/20/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Canales, Iliana & Romero, JanniaTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Licensing Program Analyst, LPA Yee conducted a case management visit today. Present at the facility are both licensees, Iliana, Jannia, and six daycare children. The facility has requested to increase its capacity from a small FCCH to a large FCCH. Fire Marshall inspected the facility on 5/30/24 and approved. The fire clearance approval is on file.

Daycare areas (lower level): Room #1, room #2, bathroom and backyard. LPA inspected the daycare areas and approved.

LPA discussed the safe sleep and capacity worksheet.


LPA will recommend a large license effective today, 06/20/2024.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
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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