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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004973
Report Date: 03/13/2025
Date Signed: 03/13/2025 09:28:27 AM

Document Has Been Signed on 03/13/2025 09:28 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:MEDINA, RAIANAFACILITY NUMBER:
384004973
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
03/13/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:53 AM
MET WITH:Raiana MedinaTIME VISIT/
INSPECTION COMPLETED:
10:54 AM
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On March 13, 2025, Licensing Program Analyst (LPA), Sheran Lo conducted a case management to increase capacity and met with Licensee Raiana Medina. Purpose of the inspection was explained to Licensee. Present were 4 children (2 infants and 2 preschoolers) with Licensee.

Observed during the inspection were age appropriate furniture/materials that were in new condition. LPA observed no health/safety hazards in the environment.

Discussed during today's inspection was how Licensee will proceed in planning for a Large License.

Licensure for a Large Family Child Care Home is approved upon receiving Fire Clearance.

Exit interview was conducted with Licensee Raiana Medina. The report and notice of site visit was provided.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2025
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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