414004700-11-7-2024-05-CC-MZAA-DASQYE-20241107113500

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004700
Report Date: 11/07/2024
Date Signed: 11/07/2024 11:35:07 AM

Document Has Been Signed on 11/07/2024 11:35 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:	BARRON, MARICELA		FACILITY NUMBER:	414004700
ADMINISTRATOR/ DIRECTOR:	BARRON, MARICELA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 871-4566
CITY:	SAN BRUNO	STATE: CA	ZIP CODE:	94066
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 9	DATE:	11/07/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Licensee, Maricela Barron		TIME VISIT/ INSPECTION COMPLETED:	11:55 AM

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 November 7, 2024 at approximately 9:00am, Licensing Program Analyst (LPA) Melissa Zaragoza conducted an unannounced, annual inspection. LPA was greeted and granted access by the licensee, Maricela Barron. At the entrance the licensee was explained the purpose of the inspection. Present during LPA's visit included licensee, licensee’s mother (staff assistant), licensee’s adult daughter (staff assistant), and 9 children (4 infants and 5 preschool age children). Hours of operation are Monday through Friday. 7:30am to 5:30pm. Licensee lives in a two-level home with their adult daughter, brother, and mother. All adults living in the home, and staff present have fingerprint clearance on file. The DAY CARE AREAS are the playroom area (living room), dining area (table area), bathroom, playroom (bedroom), and backyard. The OFF LIMIT AREAS the garage, and the entire second floor of the home. Off limit areas are made inaccessible with child safety locks on door handles. Doors are kept closed and locked. LPA toured day care areas of home with licensee. LPA observed home to be in good repair with proper temperature and ventilation. Home is equipped with a variety of toys and materials that were observed to be in good condition. LPA observed electrical outlets to be made inaccessible with child safety covers. Cleaning supplies, poisons and hazardous materials are stored in home's high shelves and/or in the homes off limit areas. Home is equipped with a fully charged fire extinguisher and a smoke and carbon monoxide detector. Smoke and carbon monoxide detectors were tested during visit and was observed to be in working condition. There are no pools, and bodies of water in the premises. Napping area (playroom) was observed to be equipped with a playpen and cots for napping children. Playpen was observed to be free of loose articles, bumper pads and pillows. LPA observed playpen to have mattresses with tight fitting sheets. Per licensee, for children who sleep on mats, parents will provide blankets for their children. Per licensee, they wash blankets when needed, or weekly. LPA observed safe sleep logs to me maintained and logged. (Continue Report on Page 2...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024

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: BARRON, MARICELA	FACILITY NUMBER: 414004700
	VISIT DATE: 11/07/2024

NARRATIVE

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Bathroom was observed to be in proper working condition. There is appropriate sanitation and toileting equipment for children in care. LPA observed children’s diapers and wipes stored and labeled in child’s individual space in a cabinet. LPA observed a changing table in the bathroom. Per licensee, children’s families provide diapers and wipes for enrolled children.

Per licensee, they provide a food service that is lunch, breakfast, and snack. LPA observed children’s lunch menu to be posted and made accessible. Per licensee, they are part of the 4Cs food program. Per licensee, there are currently no children enrolled with food allergies. LPA observed knives to be made inaccessible.

Outdoor area was observed to have fake grass flooring. LPA observed the backyard to have many toys and materials for children to play with. LPA observed plastic play structures for children in care. Outdoor area had trashcans with lids on them. LPA did not observe and bodies of water outdoors.

LPA reviewed 6 children’s record which were complete. LPA reviewed licensee’s and staff who were present records. Licensee has a current CPR/First Aid certifications and current Mandated Reporter certification. Licensee's CPR/First Aid certification will expire on 08/2026 and Mandated Reporter certification will expire 06/18/2026.

Emergency disaster drills are conducted and are appropriately documented. Last disaster drill was conducted 06/03/2024. LPA observed licensing documentation to be properly posted, made available for review. Facility maintains a childcare roster that was also made available for review. Per licensee, there are no weapons or firearms in the home.

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.

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.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024

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: BARRON, MARICELA	FACILITY NUMBER: 414004700
	VISIT DATE: 11/07/2024

NARRATIVE

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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.

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/.

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, Maricela Barron, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed a Megan’s Law search on 10/30/2024.

No deficiencies were issued during today'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, Maricela Barron.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024

LIC809 (FAS) - (06/04)

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