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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004649
Report Date: 06/21/2024
Date Signed: 06/21/2024 10:30:45 AM

Document Has Been Signed on 06/21/2024 10:30 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:TRAN,LINHFACILITY NUMBER:
414004649
ADMINISTRATOR/
DIRECTOR:		TRAN, LINH& TRAN,KAITLYNNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 421-5509
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 7DATE:
06/21/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:25 AM
MET WITH:Daisy JimenezTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On June 21, 2024, at approximately 8:25am, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced annual inspection and met with helper Daisy Jimenez, and purpose of inspection was explained. Licensee Linh Tran and adult daughter arrived at approx. 8:45am. Present during today’s visit was Licensee, two helpers, and 7 preschool age children. Facility is operating within capacity and ratio requirements on this day. All adults present today have criminal background clearances. Childcare hours of operation are Monday - Friday from 8:00AM to 5:30PM.

LPA toured the home for health and safety hazards. Home is a single-story home. Day Care Area: Entrance foyer (library room), living room, dining room, bedroom #3 (used for napping), bathroom #2 & #3 and backyard. Off Limits Areas: Kitchen, bedroom #1(office/bedroom), bedroom #2(break room/supply room), and bathroom #1. LPA reminded Licensee any off-limit areas are not to be used as a day care area without prior approval from department. Off limits rooms are properly barricaded with closed doors and childproof knobs. LPA observed home to be clean and orderly. Home is well light and has proper ventilation. LPA observed electrical outlets are secured with child proof covers. There are plenty of age-appropriate toys, books, child size furnishings, learning material, cubbies, sleeping cots, and a crib. Backyard is equipped with a sunshade for shade and equipped with tanbark and artificial grass to cushion falls. Backyard toys include two play structures with slides, one structures includes a swing set, rowboat, playhouse, and age-appropriate toys all in good repair. The entire backyard is surrounded with a 5 ft. fence. LPA did not observe any spas, pools, or other bodies of water.

Home is equipped with a working carbon monoxide detector and working smoke detectors and a fully charged 2A10BC fire extinguisher. Isolation area for ill children will be in library/foyer room and away from other children. LPA reviewed first aid kit and kit is fully stocked. Licensee uses a cell phone on the premise and understands cell phone must be on the premises during daycare hours. Per licensee, there are no weapons or firearms in the home. Licensee provides sheets and blankets for children in care and washes them on a weekly basis or as needed.


Cont. page 2…
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2024
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: TRAN,LINH
FACILITY NUMBER: 414004649
VISIT DATE: 06/21/2024
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LPA reviewed 5 children’s files and 3 staff records. All children’s files were complete with all required documents, including LIC9150. Licensee maintains an updated Children’s roster. Licensee CPR/FA expiration date is 01/2025. Licensee Mandated Reporter training expires 04/2025. Licensee provides meals to children in care, which included morning snack, lunch, and dinner. LPA reminded licensee any food brought from home must be labelled and stored properly. LPA observed Childcare License, Emergency Disaster Plan (LIC610A) and Parent's rights posted. Last emergency drill was conducted on 03/22/2024 and is properly documented. Per Licensee, she carries liability insurance via Merkel Insurance.

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.

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/.

The Licensee was reminded about the Provider Information Notices (PINs) on the CCLD website. Licensee was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. LPA's reviewed AB 1207 with the Licensee.

Cont. page 3...
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
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: TRAN,LINH
FACILITY NUMBER: 414004649
VISIT DATE: 06/21/2024
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As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. LPA reminded licensee about Mandated Reporter training available www.mandatedreporterca.com

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

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 [email protected]. 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 informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE, Linh Tran confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.



No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulations.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Linh Tran.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
LIC809 (FAS) - (06/04)
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