San Pablo · Licensed family home
Cabrera Balmori, Sofia
At a glance
- Full-size family home, licensed for up to 14 children.
What the state has found
The state cited rules at 5 of its 6 licensing inspections since April 2022.
See each inspection
Licensing inspections
Aug 19, 20262 citations
CCR 102417(g)(9)(A)Type B
“(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as the last fire drill conducted was on 11/10/25 which poses a potential health, safety or personal rights risk to persons in care.”
CCR 102417(g)(9)(A)
CCR 102417(g)(7)Type B
“(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in 3 of 4 children files were missing the Emergency Information card "Consent for Emergency Medical Treatment" (LIC627). which poses a potential health, safety or personal rights risk to persons in care.”
CCR 102417(g)(7)
May 21, 20251 citation
CCR 102417(g)(9)(A)1Type B
“(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above due to the flast fire drill documented was on 4/20/23, which poses a potential health, safety or personal rights risk to persons in care.”
CCR 102417(g)(9)(A)1
- Oct 30, 2023Nothing cited
Oct 13, 20231 citation
CCR 102416.5(c)Type A
“(c) The total licensed capacity for a Small Family Child Care Home shall not exceed eight children. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above as there were 9 children in care during the first half hour of the visit which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102416.5(c)
Sep 29, 20236 citations
CCR 102416.5(c)Type A
“(c) The total licensed capacity for a Small Family Child Care Home shall not exceed eight children. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above as there were 9 children in care during the first half hour of the visit which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102416.5(c)
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 interview and record review, the licensee did not comply with the section cited above in 2 out of 2 staff did not have a current Mandated reporter certificate which poses a potential health, safety or personal rights risk to persons in care. potential health, safety or personal rights risk to persons in care.”
HSC 1596.8662(b)(1)
HSC 1597.622(a)(1)Type B
“(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above in two out of two people did not have the immunization that prevents Pertussis and Measles which poses a potential health, safety or personal rights risk to persons in care.”
HSC 1597.622(a)(1)
CCR 102417(m)(3)Type B
“(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as the children did not have the affidavit in their file and the ones that were filled out, were in the incorrect space, which poses a potential health, safety or personal rights risk to persons in care.”
CCR 102417(m)(3)
CCR 102425(j)(2)(D)Type B
“Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above in each child's file did not have an infant sleep log or Infant sleep plan which poses a potential health, safety or personal rights risk to persons in care.”
CCR 102425(j)(2)(D)
HSC 1596.8595Type B
“A licensed child care facility or home shall provide to the parents of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as specified in paragraph (1) of subdivision (a) of Section 1596.893b. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in the Licensee did not have the children's parents sign the Acknowledgement of Receipt of Licensing Forms (LIC9224) which poses potential health, safety or personal rights risk to persons in care.”
HSC 1596.8595
Apr 25, 202219 citations
CCR 102425(j)(1)Type A
“The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102425(j)(1)
CCR 102425(j)(2)Type A
“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 based on record review, due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care. which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102425(j)(2)
CCR 102425(j)(2)(A)Type A
“The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Labored breathing. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102425(j)(2)(A)
CCR 102425(j)(2)(B)Type A
“The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102425(j)(2)(B)
CCR 102425(j)(2)(C)Type A
“The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Infants up to 12 month of age who are sleeping in a position other than on their back. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102425(j)(2)(C)
CCR 102417(g)(9)(A)Type B
“(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no fire drills being conducted, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102417(g)(9)(A)
CCR 102417(g)(9)(A)1Type B
“(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no fire drills being conducted, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102417(g)(9)(A)1
CCR 102417(g)(7)Type B
“(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102417(g)(7)
CCR 102418(a)Type B
“(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102418(a)
CCR 102418(g)Type B
“(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102418(g)
CCR 102418(g)(1)Type B
“(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in 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 due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102418(g)(1)
CCR 102419(d)Type B
“(d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102419(d)
CCR 102421(a)Type B
“(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102421(a)
CCR 102421(a)(1)Type B
“(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d). (1) The licensee shall keep the signed and dated notice form for at least three years following termination of service to the child. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102421(a)(1)
CCR 102421(b)Type B
“(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102421(b)
CCR 102421(c)Type B
“(c) In any case in which the licensee cares for an additional child pursuant to Section 102416.5(b) for a Small Family Child Care Home or Section 102416.5(d) for a Large Family Child Care Home, the licensee shall maintain, in the child’s record, a copy of documentation verifying the child’s enrollment and attendance at kindergarten, including transitional kindergarten, or elementary school as required in Section 102416.5(g). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102421(c)
CCR 102417(g)(8)Type B
“(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102417(g)(8)
CCR 102419(d)(1)Type B
“(d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). (1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or authorized representative has received and read the LIC 995A. The bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified of his or her rights and received a copy of the Caregiver background Check Process, LIC 995E (6/05), and the Family Child Care Consumer Awareness Information, LIC 9212 (10/05). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102419(d)(1)
CCR 102417(m)(3)Type B
“(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.”
CCR 102417(m)(3)
The state cited rules at 5 of this home's 6 inspections. Most Bay Area family homes inspected 6 times had fewer: 99% of 171 had rules cited at 4 or fewer.
How all 171 Bay Area family homes inspected 6 times compare
Of the 171 Bay Area family homes the state inspected 6 times, how many of those inspections cited a rule:
- None33%
- 1 of 627%
- 2 of 626%
- 3 of 69%
- 4 of 64%
- 5 of 61%This home
Read every record and the state’s reports
State record — California CDSS Community Care Licensing
- Last visit
- August 19, 2026
- On file
- 6 visits since April 2022 — 1 cited nothing · 2 complaint investigations
- Most serious
- Type A —
(c) The total licensed capacity for a Small Family Child Care Home shall not exceed eight children. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above as there were 9 children in care during the first half hour of the visit which poses an immediate health, safety or personal rights risk to persons in care.
· October 13, 2023
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.
Aug 2026 Licensing visit 2 findings
Licensing visit · August 19, 2026
CCR 102417(g)(9)(A) · Type B
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as the last fire drill conducted was on 11/10/25 which poses a potential health, safety or personal rights risk to persons in care.
CCR 102417(g)(7) · Type B
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in 3 of 4 children files were missing the Emergency Information card "Consent for Emergency Medical Treatment" (LIC627). which poses a potential health, safety or personal rights risk to persons in care.
May 2025 Licensing visit 1 finding
Licensing visit · May 21, 2025
CCR 102417(g)(9)(A)1 · Type B
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above due to the flast fire drill documented was on 4/20/23, which poses a potential health, safety or personal rights risk to persons in care.
Oct 2023 Licensing visit 1 finding
Licensing visit · October 13, 2023
CCR 102416.5(c) · Type A
(c) The total licensed capacity for a Small Family Child Care Home shall not exceed eight children. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above as there were 9 children in care during the first half hour of the visit which poses an immediate health, safety or personal rights risk to persons in care.
Sep 2023 Licensing visit 6 findings
Licensing visit · September 29, 2023
CCR 102416.5(c) · Type A
(c) The total licensed capacity for a Small Family Child Care Home shall not exceed eight children. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above as there were 9 children in care during the first half hour of the visit which poses an immediate 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 interview and record review, the licensee did not comply with the section cited above in 2 out of 2 staff did not have a current Mandated reporter certificate which poses a potential health, safety or personal rights risk to persons in care. potential health, safety or personal rights risk to persons in care.
HSC 1597.622(a)(1) · Type B
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above in two out of two people did not have the immunization that prevents Pertussis and Measles which poses a potential health, safety or personal rights risk to persons in care.
CCR 102417(m)(3) · Type B
(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as the children did not have the affidavit in their file and the ones that were filled out, were in the incorrect space, which poses a potential health, safety or personal rights risk to persons in care.
CCR 102425(j)(2)(D) · Type B
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above in each child's file did not have an infant sleep log or Infant sleep plan which poses a potential health, safety or personal rights risk to persons in care.
HSC 1596.8595 · Type B
A licensed child care facility or home shall provide to the parents of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as specified in paragraph (1) of subdivision (a) of Section 1596.893b. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in the Licensee did not have the children's parents sign the Acknowledgement of Receipt of Licensing Forms (LIC9224) which poses potential health, safety or personal rights risk to persons in care.
Jul 2023 Complaint Substantiated
Complaint · July 13, 2023
CCR 102423 · Type A
Personal Rights: (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. This Requirement was not met as evidenced by: Based on interviews it was determined that the Licensee inappropriately speaks to children, yell and curse, place on time out for a long time, and use multiple forms of punishment; which poses an immediate risk to the health, safety, and personal rights to children in care.
Apr 2022 Licensing visit 19 findings
Licensing visit · April 25, 2022
CCR 102425(j)(1) · Type A
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102425(j)(2) · Type A
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 based on record review, due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care. which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102425(j)(2)(A) · Type A
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Labored breathing. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102425(j)(2)(B) · Type A
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102425(j)(2)(C) · Type A
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Infants up to 12 month of age who are sleeping in a position other than on their back. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102417(g)(9)(A) · Type B
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no fire drills being conducted, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102417(g)(9)(A)1 · Type B
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no fire drills being conducted, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102417(g)(7) · Type B
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102418(a) · Type B
(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102418(g) · Type B
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102418(g)(1) · Type B
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in 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 due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102419(d) · Type B
(d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102421(a) · Type B
(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102421(a)(1) · Type B
(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d). (1) The licensee shall keep the signed and dated notice form for at least three years following termination of service to the child. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102421(b) · Type B
(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102421(c) · Type B
(c) In any case in which the licensee cares for an additional child pursuant to Section 102416.5(b) for a Small Family Child Care Home or Section 102416.5(d) for a Large Family Child Care Home, the licensee shall maintain, in the child’s record, a copy of documentation verifying the child’s enrollment and attendance at kindergarten, including transitional kindergarten, or elementary school as required in Section 102416.5(g). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102417(g)(8) · Type B
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102419(d)(1) · Type B
(d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). (1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or authorized representative has received and read the LIC 995A. The bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified of his or her rights and received a copy of the Caregiver background Check Process, LIC 995E (6/05), and the Family Child Care Consumer Awareness Information, LIC 9212 (10/05). This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
CCR 102417(m)(3) · Type B
(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above due to no access to children's files, which poses an immediate health, safety or personal rights risk to persons in care.
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) 309-5135
- Area
- San Pablo, 94806
- License
- 073409133
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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
The state’s licensing transparency data reports 1 complaint-related visit(s) to this facility, while 1 complaint investigation report(s) are published on the transparency portal. State complaint counts: substantiated=4, inconclusive=0, unsubstantiated=0, unfounded=CONFIDENTIAL, Type A citations=1, Type B citations=0. The state publishes no further detail for the difference.
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.