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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002826
Report Date: 03/14/2023
Date Signed: 03/14/2023 03:02:46 PM

Document Has Been Signed on 03/14/2023 03:02 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:LEBOEUF, LISE AND ALLAUME, CELINEFACILITY NUMBER:
384002826
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
03/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Celine AllaumeTIME COMPLETED:
03:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with one of the licensees, Celine Allaume, and explained the purpose of the Inspection to her. Per Celine, another licensee, Lise was in France for travel; she will be back tomorrow. All adults had fingerprint clearance. The facility's operation hours were Monday to Friday from 8;30 AM to 5 PM. There were 6 children (Preschoolers) napping upon LPA's arrival. LPA inspected the facility for health and safety hazards. Daycare areas were the living room, kitchen, and backyard. Off-limit areas were 2 bedrooms on the upper level; a bedroom & a garage on the lower level. The facility was clean and in order. The temperature was adequate. The facility installed a barricade at the window in the living room to prevent children from falling out from there. There were some toys, books, learning materials, and children's furniture available for children indoors. The facility installed a gate at the stairway to prevent children from accessing the off-limit area. The facility had a fully charged 2A10BC fire extinguisher working cellular phone, and first aid supplies available. The facility had a working Thermometer as well. LPA did not test the smoke and carbon monoxide detectors due to napping during the Inspection. Cots were used for napping. The facility has provided AM/PM snacks and lunch to the children and had hooks in the kitchen area for the children to keep their personal belongings The facility has conducted the fire and earthquake drills monthly and logged them. The children's bathroom was clean and free of harmful objects. The kitchen was clean and organized. All the lower kitchen drawers and cabinets were free of dangerous items. The outdoor play yard was completely fenced. The facility had a chicken coop with 3 chickens in the back of the yard. The facility had a swing & slide structure with the wood chips underneath as soft cushioning, ride-on toys, tree stumps, and children's outdoor furniture available for children. Per the licensee, there were no children on Special medication. LPA reviewed the children's files and obtained a copy of the children's roster during the inspection. The facility had no guns or weapons in the house, but the licensee had a cat in the house. The facility posted the required postings. The licensees had current Child Abuse Mandated Reporter Training (AB 1207) and CPR/First Aid training which will expire on 4/2024 & 3/2024.

This report and notice of the site visit were discussed with the licensee and must be made available to the public upon request. For a quarterly update on Licensing information, go to the CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2023
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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