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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004848
Report Date: 07/14/2026
Date Signed: 07/14/2026 04:57:27 PM

Document Has Been Signed on 07/14/2026 04:57 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SOUSA, FRANCIELE LOPES DEFACILITY NUMBER:
414004848
ADMINISTRATOR/
DIRECTOR:		SOUSA, FRANCIELE LOPES DEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(321) 317-8973
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
07/14/2026
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:50 PM
MET WITH:Licensee, Franciele Lopes De SousaTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
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On July 14th, 2026 at approximately 3:50PM, LPA Alvarado arrived to the facility to conduct an unannounced, Plan of Correction (POC) visit. LPA met with Licensee, Franciele Lopes De Sousa (L1) and explained the purpose of the inspection. Present in the Facility was (L1) and assistant supervising 8 children (3 Infants and 5 Preschoolers). Facility is a large license and is operating within capacity as of today’s inspection. The facility is a Large License, and (L1) was reminded that if no qualified assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in 102416.5 Staffing Ratio and Capacity. Facility was also reminded that If (L1) provides care to the 13th and 14th child, children must be school aged (6 years or older), and Parent Notification is required (LIC 9150). All adults present in the facility have fingerprint clearance and are associated to the facility as of today’s inspection.

On June 30, 2026 the facility was issued 1 Type A citation regarding Staffing Ratio and Capacity. During today's visit, the facility is operating within staffing and ratio requirements. LPA alongside the licensee, Franciele Lopes De Sousa (L1) inspected the home for any health and safety hazards. LPA during today’s inspection was able to confirm that the facility is not operating over-capacity. LPA conducted facility record review where the Notice of Site Visit was observed to be posted along with the Report dated June 30, 2026. LPA was also able to confirm that the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Forms were observed to be signed by parents and located in children files, with only two needing signatures per (L1) those two have returned as of today’s date. LPA also received proof of a Plan of correction that was sent via email as of 7/2/26 from the facility.

LPA Alvarado provided (L1) the Plan of Correction Letter, for the deficiency that was cited on June 30, 2026. Letters of deficiencies cleared were printed and provided to (L1).

No deficiencies were issued during today's visit. Appeal Rights were explained and provided to (L1). A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Franciele Lopes De Sousa.
NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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