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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414000987
Report Date: 11/05/2025
Date Signed: 11/05/2025 04:17:38 PM

Document Has Been Signed on 11/05/2025 04:17 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:IHSD, INC-MOONRIDGE INFANT CENTERFACILITY NUMBER:
414000987
ADMINISTRATOR/
DIRECTOR:		MARIA ARCELIA RUIZFACILITY TYPE:
830
ADDRESS:2001 MIRAMONTES POINT ROADTELEPHONE:
(650) 712-9684
CITY:HALF MOON BAYSTATE: CAZIP CODE:
94019
CAPACITY: 9TOTAL ENROLLED CHILDREN: 9CENSUS: 8DATE:
11/05/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:14 AM
MET WITH:Facility Director, Maria Araceli RuizTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 11/5/2025, at approximately 9:20AM, Licensing Program Analyst (LPA) Alvarado conducted an unannounced annual visit at the facility. LPA Alvarado met with Facility Director, Maria Araceli Ruiz (D1). Present in the Facility is (D1) and three staff members supervising a total of 8 children (Infants). Facility is a combination center with the IHSD, INC-Moonridge Child Development Center (414000854). All adults working in the facility are fingerprint cleared and are associated through the main administrative facility. Facility is currently operating within the teacher-to-child ratio on this date.

LPA along with (D1) at approximately 9:30am inspected the facility for any health or safety hazards. The Facility is one large classroom. Classroom has cubbies and storage for children belonging. Children have individual bags to place napping equipment such as blankets and sheets. Age-appropriate toys and learning materials were observed. Classroom has a separate individual space for infant cribs, that is divided with a partitioner. Facility provides napping equipment such as cots, cribs, sheets. Classroom has a bathroom with potty chairs and a running sink. LPA also observed a changing table at an arms reach to a portable sink.

(D1) guided LPA Alvarado outdoors to inspect the Play Area. Outdoor play area has sufficient shading. LPA observed the outdoor play areas to be free of debris and other loose articles. There are age-appropriate toys and equipment present. Each outdoor play area is enclosed by a fence that is at least four feet high. LPA Alvarado asked (D1) to monitor the wooden fence in the infant yard as it appears to be slowly moving in. No Pools, hot tubs, spas, or similar bodies of water present in the facility. Facility was reminded that any off-limit areas must be approved by the department prior to usage.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2025
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 9
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: IHSD, INC-MOONRIDGE INFANT CENTER
FACILITY NUMBER: 414000987
VISIT DATE: 11/05/2025
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Facility Hours of operation are from Monday-Friday 7:30AM-4:00PM. Facility provides meal services from Chefables that get delivered Monday, Wednesdays and Fridays. Facility also provided Infant formulas. Facility also washes every other day. Per (D1) there are no weapons or firearms in the facility. Facility uses the Child Plus App to communicate with families, such as incident reports, photos, daily activities and sign in and out. Facility also uses physical paper logs to ensure that parents sign in and out in events where power might be lost that then also get uploaded to the Child Plus App.

Facility Building is equipped with a fully charged fire extinguisher. Facility has Duo Fire alarm systems and Carbon Monoxide Detector in the facility, that were observed to be functioning during today’s Inspection. Facility has a Fully equipped First Aid Kit. Electrical outlets are childproof and inaccessible. LPA observed disinfecting wipes in the bathroom, where no children were present and advised (D1) that the facility must ensure to make Poisons, cleaning detergents, and other chemicals inaccessible to children in care. LPA also observed a small dryer in the bathroom that was elevated and advised that the facility come up with a system to ensure that the tube on the side that blows warm air not be at any reach. No children were present in the restroom and staff assisted children in the restroom one at a time. Bathroom has a baby gate making it inaccessible. Off limit spaces were also observed to be barricaded, inaccessible and off limits. LPA observed appropriate child locks on cabinets and drawers.

LPA reviewed 4 staff files, which were observed to be complete. Staff members present have current Pediatric First Aid/CPR training that Expires 3/2027. Staff qualifications and immunization records were available for review. Staff have updated Mandated Reporter Training on File. Staff also have updated Pest Management Certificate available for review. LPA reviewed 4 children’s files that were observed to be complete, including the Individual Infant Sleeping Plan (LIC9227) and the Documented 15Min sleep checks. Emergency Drills are conducted Monthly and Documented. Last Emergency Drill was conducted on October 22, 2025. All required postings were observed to be posted and accessible for review upon entry to the facility.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
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: IHSD, INC-MOONRIDGE INFANT CENTER
FACILITY NUMBER: 414000987
VISIT DATE: 11/05/2025
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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Facility representative was reminded that all adults 18 and over, 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 Child Care Center. 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

Facility tested for Lead on 3/31/2021. Lead Results are posted on the California Water Board Site and Load Date Results were posted on 6/7/2024. Facility then re-tested on 4/11/2023 with the load date of 4/25/2023. Facility tested prior to the written directives as specified on (PIN 21-21.1-CCP). Facility was just reminded that the facility will have to test for lead every 5-years after the date of the first test.

For IMS information see PIN 22-02-CCP. 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 are available at: https://www.ada.gov/resources/child-care-centers/.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
LIC809 (FAS) - (06/04)
Page: 4 of 9
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: IHSD, INC-MOONRIDGE INFANT CENTER
FACILITY NUMBER: 414000987
VISIT DATE: 11/05/2025
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Facility representative was informed of the MyChildCarePlan.org website; 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.

Based on today's inspection 11/5/2025 No deficiencies were issued today during LPA's visit.

See LIC9102-TA for Technical Advisory issued today regarding Physical Plant, Care and Supervision, and Staff Records.

Appeal rights were provided to facility director, Maria Araceli Ruiz. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with facility director, Maria Araceli Ruiz.
NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
LIC809 (FAS) - (06/04)
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