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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005088
Report Date: 03/29/2024
Date Signed: 03/29/2024 12:13:43 PM

Document Has Been Signed on 03/29/2024 12:13 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:DE OLIVIERA, LUCIANA & REGALADO, ELIZABETHFACILITY NUMBER:
414005088
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/29/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Applicant, Luciana De Oliveira & Elizabeth RegaladoTIME COMPLETED:
12:25 PM
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On March 29, 2024, at approximately 8:55AM, Licensing Program Analysts (LPAs) Melissa Zaragoza and Maria Olguin Leon conducted a scheduled relocation inspection. Applicant's previous license number was 414005088. LPAs met with applicants, Luciana De Oliveira and Elizabeth Regalado, and explained the purpose of the inspection.

Applicant's submitted an application for a address change for a family childcare home on March 7, 2024. Applicant's lives in a two story home. The second level of the home (the upstairs area) has the three bedrooms, 2 bathrooms, kitchen, ding room, and living room. The first level of the home has the basement, garage, and backyard. Living in the home are the applicants, Luciana De Oliveira, and spouse, Elizabeth Regalado, and spouse. All adults living in home have criminal background clearance.

Applicant plans to operate Monday through Friday 7:30am to 5:30pm. Applicant plans to care for children ages 4 months to 6 years old. With applicant, LPAs inspected the entire inside and outside of the home for health and safety hazards.

The DAY CARE AREAS are the living room, bedroom #1 (napping area), bathroom#1, dining room, and backyard. The OFF LIMIT AREAS are the kitchen, garage, bedroom #2, bedroom #3, bathroom #2, and basement. In order to get to the basement, applicant will use stairs to get downstairs. Basement will be used for walking through to the backyard area only. Off limit areas are made inaccessible with child safety gates, child safety door handles and/or locked doors. LPA reminded applicant off limit areas cannot be used without prior consent from department.

LPA observed the day care areas to be clean and safe. Home is equipped with a fully charged fire extinguisher, multiple smoke detectors and a carbon monoxide detector. LPA tested the carbon monoxide detector located in the hallway, and bedroom #1 which was observed to be working. Per applicant, they have Next insurance for FCCH.

Flooring in home includes wood that was observed to be clean and safe. Day care areas are equipped with appropriate toys, materials and furniture that were in good condition. Bedroom #1 (napping room) has a closet with no child lock handle. LPA advised applicant to show correction for additional safety and submit proof to LPA before receiving license. LPA observed electrical outlets to be made inaccessible with safety covers.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE: DATE: 03/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/29/2024
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 4
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: DE OLIVIERA, LUCIANA & REGALADO, ELIZABETH
FACILITY NUMBER: 414005088
VISIT DATE: 03/29/2024
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Kitchen was observed to be clean and safe. Cabinets and drawers were also observed to have child safety locks installed. Knives and sharp objects are made inaccessible in high shelf cabinets. Bathroom was observed to be in proper working condition. LPA observed drawers and cabinets in bathroom to also have child safety locks installed. Bathroom is equipped with age-appropriate toileting equipment and sanitation products. LPA did not observe any pools, spas or bodies of water on site.

Applicant was reminded baby walkers, bouncers, jumpers and any other similar items are not to be used for children in care. LPA reminded applicant emergency disaster drills are to be conducted and documented at least once every six months.

Applicant's discipline policy will be acknowledging children's feelings and redirecting. The designated isolation area will be in bedroom #1. LPA reminded applicant; children must be supervised at all times. Applicant plans to provide a food service that includes snack and lunch. Food preparation, sanitization, children's allergies was discussed.

Applicant's CPR/First Aid training is current and will expire 11/11/2025 and 5/3/2025. Applicant's Mandated Reporter training certification is also current and will expire 8/25/25 and 6/24/25. LPA reminded applicant CPR/First Aid training and Mandated Reporter training must be renewed every two years. Applicant was also reminded Mandated Reporter training must be renewed every two years by all staff working with children. Applicant has proof of required immunizations (MMR, Tdap and Flu) that were provided to department. Per applicant, there are no weapons or firearms in the home.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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: 03/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2024
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: DE OLIVIERA, LUCIANA & REGALADO, ELIZABETH
FACILITY NUMBER: 414005088
VISIT DATE: 03/29/2024
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The applicant provided proof of control of property. The applicant knows they can operate with a maximum capacity of 6 children. If property owner/landlord consent is obtained in the future, the applicant is advised that a new Application for a Family Child Care Home License (LIC 279) must be submitted with a change of capacity fee of $25, to increase the capacity and provide care to 8 children.

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) or (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.

LPA reviewed with applicant the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance checklist was provided to the applicant.

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

On this date, 03/29/2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: DE OLIVIERA, LUCIANA & REGALADO, ELIZABETH
FACILITY NUMBER: 414005088
VISIT DATE: 03/29/2024
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Applicant was informed of the MyChildCarePlan.org site, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website athttps://www.cdss.ca.gov/inforesources/community-carelicensing/ subscribe and select the Child Care option to receive email communication.

Prior to recommended licensure, following must be completed:
-Proof of bedroom #1 closet door with child safety lock.
-Proof of fence dividing plants in the back yard with FFCH play area.
-Proof of gated stairs in the backyard.
-Proof of bathroom #1 items on high shelf.




Exit interview conducted and report was reviewed with the applicants, Luciana De Oliveira and Elizabeth Regalado.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2024
LIC809 (FAS) - (06/04)
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