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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002119
Report Date: 02/07/2025
Date Signed: 02/07/2025 02:51:36 PM

Document Has Been Signed on 02/07/2025 02:51 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:ANICO, LEILA L.FACILITY NUMBER:
414002119
ADMINISTRATOR/
DIRECTOR:		ANICO, LEILA L.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 992-8969
CITY:DALY CITYSTATE: CAZIP CODE:
94015
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 8DATE:
02/07/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Leila AnicoTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On February 7, 2025 at approximately 2:00pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, plan of correction (POC) visit to licensee's home. LPA met with licensee, Leila Anico, and explained the purpose of the visit. Present during LPA's visit included 8 children (4 infants and 4 preschool age), licensee's spouse and licensee's adult daughter/assistant.

On January 24, 2025, LPA Quimbo met with licensee to conduct an unannounced, annual inspection to licensee's home. During annual inspection, LPA observed licensee to be operating over capacity with 9 children (5 infants and 4 preschool age). LPA issued a Type A citation for operating over licensed capacity limits. A POC was developed with licensee.

During LPA's file review on annual inspection, LPA observed staff records to be incomplete, immunization records for staff were not maintained, sleeping logs for napping infants (under 24 months) were not conducted, licensee's CPR/First Aid certification had expired and emergency disaster drills had not been conducted. LPA issued five Type B citations. A POC for each deficiency was developed with licensee.

As of this date, LPA observed licensee to be operating with 8 children (4 infants and 4 preschool age). Licensee has staggered children's schedules so they are not operating with more than 4 infants at a time. A child care roster was provided to LPA during visit. Licensee also provided LPA with a copy of schedule to be followed until one of the infants present turns 2 years old.

Licensee provided copies of Acknowledgement of Receipt of Licensing Reports (LIC9224) to enrolled children's families, however, not every family has returned signed copy. LPA reviewed the returned LIC9224s, which were observed to be signed. LPA observed notice of site visit given January 24, 2025 to be posted, available for review.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
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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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: ANICO, LEILA L.
FACILITY NUMBER: 414002119
VISIT DATE: 02/07/2025
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On January 29, 2025, licensee conducted a disaster drill with 8 enrolled children. Disaster drill was documented and made available for LPA's review today's date. LPA observed disaster drill to document an evacuation plan, what emergency items to bring in the event of an evacuation, and references licensee's emergency disaster plan (LIC610A). LPA observed disaster drill documentation to be scheduled at least once every six months for the next 5 years.

LPA has maintained sleeping logs for napping infants while in licensee's care. LPA observed sleeping logs to be maintained of each infant present (5 infants total). LPA observed sleeping logs document the time of when the napping infant is checked on every 15 minutes and any comments of the infant. LPA observed comments include if the infant napped or was off for the day. LPA reviewed sleeping logs for the week of January 27, 2025 through January 31, 2025.

Both licensee and licensee's adult daughter/assistant have renewed their CPR/First Aid certification. LPA observed licensee's CPR/First Aid certification was renewed January 31, 2025 with an EMSA certified provider (American Heart Association). Licensee's renewed CPR/First Aid certification will expire 01/2027.

Type A deficiency issued for operating over capacity has been cleared during today's visit. Type B citation for not conducting an emergency disaster drill, Type B citation for not maintaining sleeping logs for napping infants, and Type B citation for an expired CPR/First Aid certification have all be cleared during today's visit.

Type B citation for not maintaining personnel records for licensee and assistants, and Type B citation for not maintaining required immunization records for licensee and assistants POC due dates are February 14, 2025. Licensee will provide copies of a complete personnel record with immunization records to LPA by POC due date.

During today's visit, no deficiencies were issued. Plan of correction clearance letters were provided during visit.

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

Exit interview conducted and report was reviewed with licensee, Leila Anico.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025
LIC809 (FAS) - (06/04)
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