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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384000920
Report Date: 06/18/2024
Date Signed: 06/18/2024 04:08:18 PM


Document Has Been Signed on 06/18/2024 04:08 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-SUNNYDALE CDC-INFANTSFACILITY NUMBER:
384000920
ADMINISTRATOR:ESCALANTE, YANINAFACILITY TYPE:
830
ADDRESS:700 VELASCO AVENUETELEPHONE:
(415) 230-3844
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY:28CENSUS: 14DATE:
06/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Yanina Escalante (Nina)TIME COMPLETED:
04:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mok, conducted an unannounced case management for an unusual Incident reported by the licensee on 6/11/2024. LPA met with the Site Director, Yanina Escalante, and explained the purpose of the inspection to her. There were 14 children with 3 staff present. Regarding the unusual incident on 6/2/2024, a child opened a classroom door and walked out of the classroom to the hallway by himself for about 30 seconds; a child was discovered by the Resource Center Manager when she was in the hallway during her visit. The manager supervised and walked the child back to the classroom immediately. The licensee had a plan of correction to prevent a similar incident by installing a childproof knob to make the door handle move upward to open and a door chime to the door in each classroom, and providing Care and supervision review training to all staff on 6/14/2024.

*See LIC809D for a deficiency that was cited during the inspection today.










This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For quarterly update on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/18/2024
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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Document Has Been Signed on 06/18/2024 04:08 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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-SUNNYDALE CDC-INFANTS
FACILITY NUMBER: 384000920

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/19/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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The licensee took quick action to prevent a similar incident by installing a childproof knob to make the door handle move upward to open and a door chime to the door in each classroom, and providing Care and supervision review training to all staff on 6/14/2024. This deficiency was cleared during the inspection.
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This requirement was not met as evidence-based upon the fact. A child opened a classroom door and walked out of the classroom to the hallway by himself for about 30 seconds; a child was discovered by the Resource Center Manager when she was in the hallway during her visit. This poses a potential health risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 06/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/18/2024
LIC809 (FAS) - (06/04)
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