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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380506088
Report Date: 05/09/2023
Date Signed: 05/09/2023 05:55:56 PM


Document Has Been Signed on 05/09/2023 05:55 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:WU YEE CHILDREN'S SERVICES- PRESCHOOLFACILITY NUMBER:
380506088
ADMINISTRATOR:KAMEELAH DAVISFACILITY TYPE:
850
ADDRESS:177 GOLDEN GATE AVENUETELEPHONE:
(415) 321-3855
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94102
CAPACITY:32CENSUS: 21DATE:
05/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:TIME COMPLETED:
06:00 PM
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On 5/9/2023., Licensing Program Analyst (LPA) Van conducted an unannounced visit with Regional Manager Veronica Figueroa. LPA discussed and reviewed a self-reported incident where the child informed the Education Specialist that their teacher hit them. Per the Education specialist, while observing the classroom, a child walked up to her crying and stated that the teacher had hit her. The incident occurred on 4/6/2023. According to the Regional Manager, the Education Specialist brought the incident to her attention. As part of the Center's internal investigation, staff members in the classroom were interviewed. According to the Regional manager, after speaking with the child's mom, it was revealed that after the sibling's birth, the child regressed into some behaviors and began acting entirely out of character. At the same time, the mom asked the Center's mental health consultant to provide a strategy to help with the child's behavior at home.

The staff members interviewed stated they did not see or hear any commotion. In addition, the child involved still attends the program and has a good relationship with all teachers.

Following the incident, the Center had a workshop/training for all staff on teaching Pyramind and Personal Rights training.

**No deficiency was issued at this moment.**

Regional Manager Veronica Figueroa read and signed this report.

During the visit, LPA obtained the Center's internal investigation of the incident.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2023
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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