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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001628
Report Date: 10/22/2024
Date Signed: 10/22/2024 03:48:03 PM

Document Has Been Signed on 10/22/2024 03:48 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:ORILLE, NANCY CANOFACILITY NUMBER:
414001628
ADMINISTRATOR/
DIRECTOR:		ORILLE, NANCY CANOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 995-4932
CITY:DALY CITYSTATE: CAZIP CODE:
94015
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 4DATE:
10/22/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Nancy Cano OrilleTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On October 22, 2024 at approximately 3:00pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with licensee, Nancy Cano Orille, and explained the purpose of the visit. Present during LPA's visit included licensee and 4 preschool age children. Licensee is operating within capacity limits and ratio during LPA's visit.

Licensee lives in the multi-level home with their spouse and adult son. Adults living in the home have fingerprint clearance on file. Hours of operation are Monday through Friday 7:30am to 6:00pm.

With licensee, LPA inspected day care areas for health and safety hazards. The DAY CARE AREAS are located on the ground level of the home only, which includes an activity room (main day care area), bedroom #1 for napping, kitchenette in activity room, bathroom #1 and backyard (not currently in use). The OFF LIMIT AREAS are the entire second level of home and garage.

LPA observed main day care area to have a variety of toys and equipment that are in good condition. There is furniture for children's use that is age appropriate. LPA observed home to have a variety of materials and activities for children's use that are age appropriate. LPA observed table to have padding on corners, for additional safety.

Day care areas are in good repair with proper temperature and ventilation. Flooring in day care area includes soft padding. Per licensee, soft padding is sanitized daily. LPA did not observe electrical outlets in day care areas to be accessible. LPA observed cabinets in kitchenette to have child safety locks installed.

Bedroom #1 includes a diaper changing table that is cushioned. Per licensee, diapers and wipes are provided by children's families. Licensee disposes of dirty diapers daily. LPA observed closet in bedroom to be made inaccessible with a child safety gate.

Bathroom for children's use was observed to be in working condition. Per licensee, children currently enrolled are all in diapers. LPA observed bathroom to be equipped with appropriate toileting equipment and sanitation products.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2024
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 3
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: ORILLE, NANCY CANO
FACILITY NUMBER: 414001628
VISIT DATE: 10/22/2024
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Home is equipped with a fully charged fire extinguisher and multiple smoke and carbon monoxide detectors. LPA tested carbon monoxide detector in main day care area that was observed to be working.

Children sleep on cots in day care area. Licensee provides sheets and blankets that are laundered weekly or as needed. There are cribs in the napping room for infants, if needed.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee 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.

Licensee provides a food service that includes breakfast, lunch and two snacks. Per licensee, children present do not have allergies. Backyard is not currently used and is made inaccessible with a gate. LPA did not observe any pools, spas or bodies of water on site.

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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

LPA observed licensee has licensing documentation properly posted and available for review. Licensee maintains a childcare roster that was made available for LPA's review. Emergency disaster drills are conducted, documented and posted available for review.

LPA reviewed children's records that include emergency information and required immunizations. Licensee's CPR/First Aid certification is current and will expire 04/2025. Licensee's Mandated Reporter certification is also current and will expire 04/2025.

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.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
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: ORILLE, NANCY CANO
FACILITY NUMBER: 414001628
VISIT DATE: 10/22/2024
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Licensee was reminded that all adults 18 and over living or working in the home, 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.

Licensee 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.

During the exit interview, the licensee, Nancy Cano Orille, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

No deficiencies were issued today during LPA's visit.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Nancy Cano Orille.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
LIC809 (FAS) - (06/04)
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