Fremont · Licensed family home

Bergendahl, S. Annette

At a glance

Full-size family home, licensed for up to 14 children.

What the state has found

The state cited rules at 1 of its 3 licensing inspections since August 2022.

See each inspection

Licensing inspections

Oct 11, 2024Nothing cited
Aug 16, 20235 citations
- CCR 102425(j)(2)Type B
  “The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that no sleep logs are being used to document infants safe sleep, which poses a potential health, safety or personal rights risk to persons in care.”
  CCR 102425(j)(2)
- HSC 1596.8662(b)(1)Type B
  “(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day 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 as evidenced by: Based on record review, the licensee did not comply with the section cited above in the licensees Mandated reporter certificate expired Nov 2022 which poses a potential health, safety or personal rights risk to persons in care.”
  HSC 1596.8662(b)(1)
- HSC 1597.622(c)Type B
  “(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that two staff members could not provide proof of TB test which poses a potential health, safety or personal rights risk to persons in care.”
  HSC 1597.622(c)
- CCR 102416(c)Type B
  “(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that licensee CPR and first aid certificate expired in June 2023 which poses a potential health, safety or personal rights risk to persons in care.”
  CCR 102416(c)
- CCR 101425(c)Type B
  “101425(c) An Individual Sleeping Plan {LIC9227 (3/20)} shall be completed for each infant up to 12 month of age the provider has in care and mianatined at the facilty in the infants file. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that LIC9227 Infant Safe Sleep Plan was not completed and available in the child's file which poses a potential health, safety or personal rights risk to persons in care.”
  CCR 101425(c)
Aug 5, 2022Nothing cited

The state cited rules at 1 of this home's 3 inspections. Most Bay Area family homes inspected 3 times had fewer: 57% of 798 had none cited.

How all 798 Bay Area family homes inspected 3 times compare

Of the 798 Bay Area family homes the state inspected 3 times, how many of those inspections cited a rule:

None57%
1 of 329%This home
2 of 311%
All 33%

Read every record and the state’s reports

State record — California CDSS Community Care Licensing

Last visit: October 11, 2024
On file: 3 visits since August 2022 — 2 cited nothing
Most serious: No finding carrying a severity level in the last 24 months.

California CDSS publishes the full investigation narrative for a complaint, including its disposition, and classifies a citation Type A — an immediate risk to a child — or Type B.

Oct 2024 Licensing visit nothing cited

Aug 2023 Licensing visit 5 findings

Licensing visit · August 16, 2023

CCR 102425(j)(2) · Type B

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that no sleep logs are being used to document infants safe sleep, which poses a potential health, safety or personal rights risk to persons in care.

HSC 1596.8662(b)(1) · Type B

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day 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 as evidenced by: Based on record review, the licensee did not comply with the section cited above in the licensees Mandated reporter certificate expired Nov 2022 which poses a potential health, safety or personal rights risk to persons in care.

HSC 1597.622(c) · Type B

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that two staff members could not provide proof of TB test which poses a potential health, safety or personal rights risk to persons in care.

CCR 102416(c) · Type B

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that licensee CPR and first aid certificate expired in June 2023 which poses a potential health, safety or personal rights risk to persons in care.

CCR 101425(c) · Type B

101425(c) An Individual Sleeping Plan {LIC9227 (3/20)} shall be completed for each infant up to 12 month of age the provider has in care and mianatined at the facilty in the infants file. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in that LIC9227 Infant Safe Sleep Plan was not completed and available in the child's file which poses a potential health, safety or personal rights risk to persons in care.

State report

Aug 2022 Licensing visit nothing cited

Shortlist replaces people’s names in the state’s text with initials. This is done by rule, not by hand, so it can miss a name or shorten a word that isn’t one. The state’s report, linked on each row, has the original.

Details

Phone: (510) 304-9570
Area: Fremont, 94536
License: 013422740

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Sources and dates

Where every fact on this page came from, and when Shortlist last checked it against that source. Anything Shortlist could not source is named here rather than left blank.

All checked November 2026.

State record

From California CDSS Community Care Licensing’s published reports, last checked November 5, 2026.

Details

Phone, License ccld.dss.ca.gov

Full-size means licensed for 14 children, the most any Bay Area family home holds; 442 of Bay Area’s 466 licensed family homes are. Small is 10 to 13.