<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004728
Report Date: 09/26/2024
Date Signed: 09/26/2024 04:30:29 PM

Document Has Been Signed on 09/26/2024 04:30 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:DIAS SANTIAGO, NATANNA LUDMILAFACILITY NUMBER:
384004728
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
09/26/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:25 PM
MET WITH:Licensee, Natanna Dias SantiagoTIME VISIT/
INSPECTION COMPLETED:
04:45 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 9/26/2024, at approximately 3:25PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced case management visit at the facility. LPA met with Licensee, Natanna Dias Santiago (L1) and explained the purpose of the visit. Present during the visit was L1, a helper (H1), and four infants. The facility is operating within capacity and ratio requirements on this day.

L1 submitted an application for an increase in capacity. Fire clearance was obtained by the facility on 8/29/2024.

LPA inspected the facility for any health or safety hazards. LPA observed there to be a fully charged 2A10BC fire extinguisher present. There is an operational carbon monoxide detector present. LPA observed that emergency exits have been clearly marked and visible. LPA observed that cribs were kept free of all loose articles and objects. There were no sleep sacks in use during the visit. The facility last conducted an emergency drill on 7/15/2024. Drills are properly logged and documented. L1 and H1's First Aid/CPR expires 6/2026. LPA observed that the facility maintains sleep logs digitally. All children's files were observed to be complete.

Staffing ratio and capacity regulations were discussed with L1 and H1 during the visit.

LPA shall recommend approval of a Large FCCH license for this facility effective 9/26/2024.

No deficiencies were cited during today's visit on 9/26/2024. A notice of site visit was provided and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee, Natanna Dias Santiago.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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 1