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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005088
Report Date: 02/28/2025
Date Signed: 02/28/2025 09:23:02 AM

Document Has Been Signed on 02/28/2025 09:23 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:DE OLIVEIRA, LUCIANAFACILITY NUMBER:
414005088
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
02/28/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Licensee,Luciana De OliveiraTIME VISIT/
INSPECTION COMPLETED:
09:35 AM
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On Febuary 28, 2025, at approximately 8:30am, Licensing Program Analyst (LPA) Melissa Zaragoza conducted an unannounced, case management visit. LPA met with the licensee Luciana De Oliveira and explained the purpose of the visit. Present during LPA's visit included the licensee, 1 staff assistant (licensee's spouse), and 2 infant children .

Licensee requested for a room addition to their childcare license. The licensee submitted an application for an update to their license, to department on February 24, 2025.

Licensee, lives in the home with their spouse. All adults living and working in the home have fingerprint clearance on file. Hours of operation are Monday through Friday 7:30am to 5:00pm

The DAY CARE AREAS now approved are the living room, dining room, bedroom #1, bedroom #2, basement, bathroom #1, stairs for walk through only, and backyard. The OFF LIMIT AREAS are the kitchen, bedroom #3, bathroom# 2, and the garage. Off limit areas are made inaccessible with child safety door handles and child safety gates. Home is equipped with a fully charged fire extinguisher, first aid kit and a dual smoke and carbon monoxide detector. LPA observed a dual smoke and carbon monoxide detector in the basement.

LPA observed the basement and bedroom #2 of the home for any health and safety hazards. LPA observed the basement to have many toys and material that were age appropriate for the children in care. LPA observed toys to be well kept and in proper working condition. Licensee installed corner covers for protection in both, bedroom #2 and the basement. LPA observed outlets to have outlets coves installed, inaccessible to children in care. LPA observed basement to have cushion flooring, and a safety gate, blocking stairs. Making stairs inaccessible to children. LPA did not observe any pools, spas, or bodies of water in the premises.


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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2025
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: DE OLIVEIRA, LUCIANA
FACILITY NUMBER: 414005088
VISIT DATE: 02/28/2025
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LPA will approve the room addition of bedroom #2 and the basement to the childcare license, as of today’s date, 02/28/2025.

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, Luciana De Oliveira.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2025
LIC809 (FAS) - (06/04)
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