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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004962
Report Date: 11/28/2023
Date Signed: 11/28/2023 05:11:44 PM

Document Has Been Signed on 11/28/2023 05:11 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:AVENDANO, GRETEL B.FACILITY NUMBER:
414004962
ADMINISTRATOR:AVENDANO, GRETEL B.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 934-8808
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
11/28/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Gretel AvendanoTIME COMPLETED:
05:25 PM
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Licensing Program Analyst (LPA) Andrea Medlin met with facility representative for this plan of correction visit established on 11/1/2023. Purpose of visit explained. There are 4 children present during the visit; 1 school aged and 3 infants. The following previously cited deficiencies are observed to be corrected and cleared today:
  • HSC 1596.8662(b)(1) - On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met based on record review. The two helpers do not have child abuse training. This is a potential health and safety risk. Licensee has has current mandated child abuse reporter training (exp. 3/29/2025); helper Rosa Amado Sanchez now has current certificate (exp 11/2/2025); helper Ingrid Amado Sanchez has current certificate (exp.11/16/2025).
  • Section 102417- Children's files are incomplete. See LIC 857 - Children's Record Review for a list of what is missing in each child's file. This requirement is not met based on record review and incomplete/missing forms in the children's files. This is a potential health and safety risk. The files have been reviewed and are now complete.


(Continued on next page 809-C)
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Andrea Medlin
LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2023
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: AVENDANO, GRETEL B.
FACILITY NUMBER: 414004962
VISIT DATE: 11/28/2023
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  • Section 102425(c)(1)(2) - INFANT SAFE SLEEP: An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file. This requirement is not met as none of the infant's files have a safe sleep plan. There are currently no infants in care under the age of 12 months, but the form has been provided and explained how to fill out the form with parents.

This report is reviewed with facility representative and a copy of this report must be made available for public review upon request.

Notice of site visit provided and shall remain posted for 30 days.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Andrea Medlin
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
LIC809 (FAS) - (06/04)
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