414004560-3-17-2025-05-CC-JGIL-DEUPLZ-20250317112535

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004560
Report Date: 03/17/2025
Date Signed: 03/17/2025 11:25:45 AM

Document Has Been Signed on 03/17/2025 11:25 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	AMIGOS DE SF		FACILITY NUMBER:	414004560
ADMINISTRATOR/ DIRECTOR:	RANGEL, NAYELI		FACILITY TYPE:	850
ADDRESS:	1020 SULLIVAN AVENUE		TELEPHONE:	(650) 218-1555
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94015
CAPACITY: 22	TOTAL ENROLLED CHILDREN: 22	CENSUS: 17	DATE:	03/17/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Nayeli Rangel		TIME VISIT/ INSPECTION COMPLETED:	12:05 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 March 17th, 2025 at approximately 9:00 AM, Licensing Program Analyst (LPA) Gil conducted an unannounced, annual inspection. LPA met with director, Nayeli Rangel, and explained the purpose of the inspection. Hours of operation are Monday to Friday 7:50 AM to 5:30 PM. Present during inspection included 17 children with 3 staff members (including director). Facility is operating within capacity requirements and ratios at time of LPA's inspection. LPA inspected facility, indoors and outdoors, for health and safety hazards. Program operates out of one classroom. LPA observed classroom to be sectioned into multiple areas. Areas include a play area, art area and eating area. LPA observed classroom to be clean, equipped with age appropriate toys, materials, and furniture. LPA observed electrical outlets to be made inaccessible with outlet covers. LPA also observed covered trash cans in the classroom and children's bathroom. Storage for children's belongings are located inside the classroom, labeled with each child's individual names. LPA observed classroom has enough sleeping cots available for all children in care. Per director, parents take home and wash sheets weekly. LPA observed facility has an installation of a fire alarm system throughout the building. LPA observed a carbon monoxide detector in the classroom. LPA tested detector, which was observed to be working. Classroom has a fully stocked and accessible first aid kit located in the children's bathroom. Facility has a fire extinguisher located by the front entrance. All poisons, cleaning solutions and hazardous materials are stored inaccessible to children on facility's high shelves in staff bathroom and children's bathroom. Per director, there are four children in care with allergies and medications. All medications and needed documents are stored in children's bathroom, in inaccessible locked safe. Medication was observed to be in original packaging. LPA observed children's bathrooms to be clean and in proper working condition. Facility provides a morning snack and afternoon snack. Parents and authorized representatives provide lunch for enrolled children that is packaged and stored inside the classroom. Water is available to children indoors and outdoors with children's water bottles. Continue on Page 2...

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

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: AMIGOS DE SF	FACILITY NUMBER: 414004560
	VISIT DATE: 03/17/2025

NARRATIVE

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Outdoor area is fully enclosed and has age appropriate toys and materials that were in working condition. LPA observed a sandbox to not have covering on it. LPA reminded director all sandboxes must have proper coverings when not in use by children. LPA observed play structure with turf padding underneath.

Children are signed in and out of facility through a paper system by the front entrance. All children were signed in correctly during LPA's visit. Facility has license documentation and information properly posted and available for review in main entrance of facility. Preschool program conducts drills at least once every six months. Last conducted disaster drill was on 03/10/2025.

LPA reviewed 8 children's files and 3 staff files. Children's and staff files were complete with a record of emergency identification information on file. All staff have a valid CPR/First Aid certificate. All staff also have proof of required immunization and Mandated Reporter Training Certificates on file.

Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

Director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completed certificate on file. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

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: AMIGOS DE SF	FACILITY NUMBER: 414004560
	VISIT DATE: 03/17/2025

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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: http://www.ada.gov/childqanda.htm

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).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Facility failed to test for lead water before January 1st, 2023. Type B deficiency is being issued on this day in accordance with the California Code of Regulations, Title 22, see LIC 809D.

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 director, Nayeli Rangel.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/17/2025 11:25 AM - It Cannot Be Edited

Created By: Janet Gil On 03/17/2025 at 11:09 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: AMIGOS DE SF	FACILITY NUMBER: 414004560
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/17/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Deficiency Dismissed

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in testing for lead contamination levels at the facility before January 1, 2023, which posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/17/2025
	Plan of Correction
1 2 3 4	Facility has tested for lead on 1/25/2025 and has no exceedances.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Garfield Leung

LICENSING EVALUATOR NAME:

Janet Gil

LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

LIC809 (FAS) - (06/04)

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